NPIMap

Organization Active NPI

Zenwar Wellness Inc

  • Clinical Social Worker
  • Saint Johns, FL
National Provider Identifier
1720701337
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ZENWAR WELLNESS INC
Practice address
157 Mahogany Bay Dr
Saint Johns, FL 32259-6949
Phone
(904) 657-1533
Fax
(833) 799-3395
NPI assigned
Sep 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Renee Garcia Wyden, EDD,LCSWNPI 1164416889
Title
Owner/Licensed Clinical Social Work
Phone
(904) 657-1533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

157 Mahogany Bay Dr
Saint Johns, FL 32259-6949

Mailing address

157 Mahogany Bay Dr
Saint Johns, FL 32259-6949
Phone (904) 657-1533

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1720701337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 MAHOGANY BAY DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596949",
            "telephone_number": "904-657-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 MAHOGANY BAY DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596949",
            "telephone_number": "904-657-1533",
            "fax_number": "833-799-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENWAR WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "WYDEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "904-657-1533",
        "authorized_official_credential": "EDD,LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.