Wellsprings Clinical Social Work PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLSPRINGS CLINICAL SOCIAL WORK PLLC

Practice address

109 N 12TH St FL 8
Brooklyn, NY 11249-1008

Phone

(347) 651-0900

Fax

(888) 901-8693

NPI assigned

Jan 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alexander Martinez, LCSWRNPI 1992873756

Title

Ceo

Phone

(347) 651-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Martinez, LCSWR

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1992873756
  NPD Authorized official
• Barbara A. Taveras, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1255490025
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1609582279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 E MEADOW AVE UNIT 723",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115546024",
            "telephone_number": "347-651-0900",
            "fax_number": "888-901-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 12TH ST FL 8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491008",
            "telephone_number": "347-651-0900",
            "fax_number": "888-901-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRINGS CLINICAL SOCIAL WORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-651-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Champaine Wells, LMSW
• Lafiette D Wells, LMSW
• Wellspring Dental PLLC
• Wellspring Global LLC
• Wellspring Psychiatry PLLC
• Girgis Welsen
• Koren Welsh, M.S., CCC-SLP
• Ramon A. Welsh, COUNSELING
• Samerra Welsh, MSW
• Welta Inc

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.