Paul J. Wensley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20373 Issued in CA

Practice address

2730 Adeline St
Oakland, CA 94607-2408

Phone

(510) 465-1800

NPI assigned

Apr 23, 2007

Last updated

Mar 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1790903714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2C2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093416",
            "telephone_number": "510-698-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072408",
            "telephone_number": "510-465-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2940 Summit St Ste 2C2D",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093416",
            "country_code": "US",
            "telephone_number": "510-698-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENSLEY",
        "first_name": "PAUL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Weil, PH. D
• Christiana Y. Weng, MD
• Elliott Lyle Wenger, DPM
• Susan Wengrofsky
• Sylvia Wenninger, MFT
• Meaghan Faith Wenzel
• Susan Elizabeth Werner, LCSW
• Marcia Myers Weske, MFT
• Eunique Wesley
• Jalen Xavier Wesley

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.