Individual provider Active NPI

Jherel A Wells Sr., MSW, LSW

  • Social Worker
  • Richmond Heights, OH
National Provider Identifier
1700444577
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1201496 Issued in OH
Practice address
4836 Monticello Blvd
Richmond Heights, OH 44143-2846
Phone
(216) 338-2898
Fax
(216) 486-6112
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1201496 OH Primary

Addresses

Primary practice location

4836 Monticello Blvd
Richmond Heights, OH 44143-2846

Mailing address

4836 Monticello Blvd
Richmond Heights, OH 44143-2846
Phone (216) 338-2898

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1201496OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1700444577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 MONTICELLO BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432846",
            "telephone_number": "216-338-2898",
            "fax_number": "216-486-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 MONTICELLO BLVD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432846",
            "telephone_number": "216-338-2898",
            "fax_number": "216-486-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "JHEREL",
        "middle_name": "A",
        "name_suffix": "Sr.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1201496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.