Organization Active NPI

Ae Wellness,LLC

  • Clinical Social Worker
  • West Chester, PA
National Provider Identifier
1659830198
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AE WELLNESS,LLC
Practice address
117 W Gay St
West Chester, PA 19380-2932
Phone
(484) 378-0706
NPI assigned
Mar 14, 2019
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Mrs. Elisha Wendi Farley, LCSWNPI 1982034864
Title
Licensed Clinical Social Worker
Phone
(484) 378-0706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

117 W Gay St
West Chester, PA 19380-2932

Mailing address

117 W Gay St
West Chester, PA 19380-2932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240510001186 PA Part B Supplier - Clinic/Group Practice 1052752847 Receives reassigned benefits from 4 practitioners
Practice locations: West Chester, PA

National Provider Directory

National Provider Directory

Locations

207 S Bolmar St
Fl 2
West Chester, PA 19382
Phone (610) 692-5200

117 W Gay St
West Chester, PA 19380
Phone (484) 378-0706

117 W Gay St
Ste 200
West Chester, PA 19380
Phone (610) 692-5200

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1659830198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W GAY ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W GAY ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802932",
            "telephone_number": "484-378-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AE WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_middle_name": "WENDI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "484-378-0706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.