Judith P Wellek, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 0460 Issued in AZ

Practice address

4647 N 32ND St
Suite 255
Phoenix, AZ 85018-3345

Phone

(602) 957-7020

Fax

(602) 957-9614

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801907688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 N 32ND ST",
            "address_2": "SUITE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183345",
            "telephone_number": "602-957-7020",
            "fax_number": "602-957-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 N 32ND ST",
            "address_2": "SUITE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183345",
            "telephone_number": "602-957-7020",
            "fax_number": "602-957-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLEK",
        "first_name": "JUDITH",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW 0460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Diane Welker, PSYD, LPC
• Well Fair Care International
• Well Life LLC
• Wellcare Hub LLC
• Scott Nicholas Welle, DO
• Amanda Leigh Weller
• Shannon Weller, MS, LBA, BCBA
• Dorothy Wellington, B.A. ORDAINED CLERGY
• Christina Lee Wellman, MA LPC
• Kendra A Wellman, D.C.

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.