Elaine Wells, SOCIAL WORKER

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

10744 Grayson CT
Jacksonville, FL 32220-1894

Phone

(904) 386-0943

NPI assigned

Jul 14, 2015

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1619351285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NS MAYPORT, 2104 MASSEY AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32228",
            "telephone_number": "904-270-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10744 GRAYSON CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322201894",
            "telephone_number": "904-386-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ELAINE",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elaine.wells.civ@mail.mil",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "elaine.wells.civ@mail.mil",
            "address_1": "10744 Grayson Ct",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322201894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara A. Wells, CRNA
• Chantavia Wells
• Darlyn Wells
• David Scott Wells, M.D.
• Devin Wells
• Hannah Wells, APRN
• Hannah Patton Wells, IHP2
• Helena Wells, ARNP
• Isaac Wells, LMHC
• Jana Elizabeth Wells, PT, DPT

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.