Individual provider Active NPI

Pwendy Fenelus, MSW, LCSW

  • Counselor
  • Boca Raton, FL
National Provider Identifier
1639740293
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810003403 FL Practitioner - Clinical Social Worker 1254714124 Reassigns benefits to 1 organization

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
Ruth and Norman Rales Jewish Family Services IncGroup PAC ID 4183526221, 12 clinicians

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

OrganizationSpecialtyStatusNew patients
Ruth & Norman Rales Jewish Family Services Inc CurrentSince Aug 1, 2022 Accepting new patients
Toby and Leon Cooperman Therapy and Family Resource Center CurrentSince Aug 1, 2022 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.

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

Verify at the official NPI Registry.