Individual provider Active NPI

Wendi L Bator, LCSW

  • Clinical Social Worker
  • Bradford, PA
National Provider Identifier
1750485256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014595 Issued in PA
Practice address
110 Campus Dr
The Guidance Center
Bradford, PA 16701-1982
Phone
(814) 362-6535
Fax
(814) 362-7358
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014595 PA Primary

Addresses

Primary practice location

110 Campus Dr
The Guidance Center
Bradford, PA 16701-1982

Mailing address

341 Seaward Ave
Bradford, PA 16701-3111
Phone (814) 362-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000076 PA Practitioner - Clinical Social Worker 0547201303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014595PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center CurrentSince Nov 14, 2003 Accepting new patients

Locations

110 Campus Dr
Bradford, PA 16701
Phone (814) 362-6535

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750485256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SEAWARD AVE",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013111",
            "telephone_number": "814-362-6535",
            "fax_number": "814-362-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CAMPUS DR",
            "address_2": "THE GUIDANCE CENTER",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011982",
            "telephone_number": "814-362-6535",
            "fax_number": "814-362-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATOR",
        "first_name": "WENDI",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.