Active NPI
Daria Simone Wells, LCSW
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1689921249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 11115
- Practice address
- 1931 Welby Way
Suite 4
Tallahassee, FL 32308-4462 - Phone
- (850) 999-2140
- Fax
- (850) 270-6572
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 11115 | FL | Primary |
Addresses
Primary practice location
1931 Welby Way
Suite 4
Tallahassee, FL 32308-4462
Mailing address
1931 Welby Way
Suite 4
Tallahassee, FL 32308
Phone (850) 999-2140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010440900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 11115 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1689921249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 WELBY WAY",
"address_2": "SUITE 4",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-999-2140",
"fax_number": "850-270-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 WELBY WAY",
"address_2": "SUITE 4",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084462",
"telephone_number": "850-999-2140",
"fax_number": "850-270-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "DARIA",
"middle_name": "SIMONE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 11115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010440900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.