Individual provider Active NPI

Wendy Lee Vello, LCSW, LISW-CP

  • Clinical Social Worker
  • Evans, GA
National Provider Identifier
1699756817
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004201 Issued in GA
Practice address
427 N Belair Rd
Evans, GA 30809
Phone
(706) 804-0006
NPI assigned
Nov 7, 2005
Last updated
Aug 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6366 SC
Clinical Social Worker 1041C0700X 004201 GA Primary

Addresses

Primary practice location

427 N Belair Rd
Evans, GA 30809

Mailing address

2471 Louisville Rd.
Appling, GA 30802
Phone (706) 804-0006

Other identifiers 1

IdentifierTypeStateIssuer
1699756817OtherSCNPI

Other names 1

  • Wendy Lee Wescott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 11, 2023 through Dec 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004201GAMDClinical Social Worker
6366SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
No Stones Counseling Center, LLC Current Accepting new patients

Locations

427 N Belair Rd
Evans, GA 30809
Phone (706) 804-0006

Organizations & group practices 1

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1699756817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 LOUISVILLE RD.",
            "city": "APPLING",
            "state": "GA",
            "postal_code": "30802",
            "telephone_number": "706-804-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-804-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLO",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "6366",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "004201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699756817",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "WESCOTT",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.