Wileen Loretta Vandenoever, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8165 Issued in FL

Practice address

5453 Harden Rd
Orange Park, FL 32065-7204

Phone

(904) 755-1914

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Wileen Loretta Judkins Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aspire Counseling Inc

  • Community/Behavioral Health Agency
  • Orange Park, FL
  • NPI 1285075051
  Medicare reassignment NPD Authorized official
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1679503742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 HARDEN RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657204",
            "telephone_number": "904-755-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 HARDEN RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657204",
            "telephone_number": "904-755-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENOEVER",
        "first_name": "WILEEN",
        "middle_name": "LORETTA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILEEN",
            "last_name": "JUDKINS",
            "middle_name": "LORETTA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Valachovic, MD
• Bethany Valentin
• Laurie Valloneshimko, MPT
• Teresa Michelle Van Meter
• Elizabeth Rose Vandenbroek, PT
• Candice L Vanderschaaf
• Karin Herzele Vangura, MD
• Michael D Vanover, DDS
• Amaia Victoria Vargas
• Vanessa Vargas, SLPA

• Clinical Social Worker in Orange Park, FL
• Providers in Orange Park, 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 Jan 3, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.