Jennifer Mary Wixted, LCSW, CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW9852 Issued in FL

Practice address

300 S Bay Ave
Sanford, FL 32771-2141

Phone

(407) 321-4357

Fax

(407) 324-9055

NPI assigned

Oct 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1699963587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14139 TURNING LEAF DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287488",
            "telephone_number": "321-258-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BAY AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327712141",
            "telephone_number": "407-321-4357",
            "fax_number": "407-324-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIXTED",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "credential": "LCSW, CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wing Surgical PA
• Brian Wisherd, MA, CCC-SLP
• James E Witherspoon IV, CCEMT-P, CCHW
• Austin B Witnauer, DPT
• Jenna Witt Wilkins, LMT
• Leigh Kristin Wixted, COTA/L
• Janice M. Wojak, MA LMHC LCPC NCC CAP
• Kendall Wolverton, PT
• Tori Woodmansee, OTR/L
• Radharani Woods Vizcaino

• Clinical Social Worker in Sanford, FL
• Providers in Sanford, 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 Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.