Active NPI
Pwendy Fenelus, MSW, LCSW
- Counselor
- Boca Raton, FL
National Provider Identifier
1639740293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1489 W Palmetto Park Rd Ste 410
Boca Raton, FL 33486-3325 - Phone
- (561) 819-2562
- NPI assigned
- Jul 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1489 W Palmetto Park Rd Ste 410
Boca Raton, FL 33486-3325
Mailing address
5540 Lakeside Dr Apt 203
Margate, FL 33063-7609
Phone (954) 200-4067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21300 Coleman Blvd
Boca Raton, FL 33428-1757
Phone (561) 852-3156
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruth & Norman Rales Jewish Family Services Inc | Current | Accepting new patients | |
| Toby and Leon Cooperman Therapy and Family Resource Center | Current | Accepting new patients |
Locations
21300 Ruth and Baron Coleman Blvd
Boca Raton, FL 33428
Phone (561) 852-3333
7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1063476976
-
- Occupational Therapist
- Boca Raton, FL
- NPI 1982352092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1639740293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 LAKESIDE DR APT 203",
"city": "MARGATE",
"state": "FL",
"postal_code": "330637609",
"telephone_number": "954-200-4067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1489 W PALMETTO PARK RD STE 410",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334863325",
"telephone_number": "561-819-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENELUS",
"first_name": "PWENDY",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.