Individual provider Active NPI

Wendy Ellen West, MSW, LCSW

  • Clinical Social Worker
  • Hertford, NC
National Provider Identifier
1669731659
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007343 Issued in NC
Practice address
112 Inlet CT
Hertford, NC 27944-9757
Phone
(252) 619-4623
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C007343 NC Primary

Addresses

Primary practice location

112 Inlet CT
Hertford, NC 27944-9757

Mailing address

112 Inlet CT
Hertford, NC 27944-9757
Phone (252) 619-4623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150622001031 NC Practitioner - Clinical Social Worker 6901117639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Regional Health Services CurrentSince Nov 20, 2018 Accepting new patients
Albemarle Regional Health Services CurrentSince Nov 20, 2018 Accepting new patients
County of Hyde Office of Accountant Past Accepting new patients

Locations

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

Interoperability endpoints

  • Direct secure messaging: wwest@arhs.curemd.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1669731659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 INLET CT",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279449757",
            "telephone_number": "252-619-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 INLET CT",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279449757",
            "telephone_number": "252-619-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "WENDY",
        "middle_name": "ELLEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hertford, NC

Sources for this page

Verify at the official NPI Registry.