Wellspring Counseling Center Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW0004869 Issued in FL

Legal business name

WELLSPRING COUNSELING CENTER INC

Practice address

18245 Paulson Dr
Suite 111
PT Charlotte, FL 33954-1019

Phone

(941) 916-0522

Fax

(941) 206-2201

NPI assigned

Jun 18, 2006

Last updated

Oct 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda Marie Weser, LCSW

Title

President

Phone

(941) 916-0522

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeannette D Ross, LCSW

  • Clinical Social Worker
  • Englewood, FL
  • NPI 1376567297
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1821033390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3284 HIGHLANDS RD",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339833549",
            "telephone_number": "941-916-0522",
            "fax_number": "941-206-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 PAULSON DR",
            "address_2": "SUITE 111",
            "city": "PT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541019",
            "telephone_number": "941-916-0522",
            "fax_number": "941-206-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "WESER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-916-0522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0004869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH PROVIDER ID",
            "identifier": "238461",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Z8351",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEH. HEALTH ID",
            "identifier": "87726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soca Imaging Inc (SW Florida Regional Imaging Center-AMC)
• Neeta Sookhoo, PSYD
• Stephen Petrofsky DPM PA
• Triad Radiology LLC
• Andrew K. Weitzel, D.O.

• Clinical Social Worker in PT Charlotte, FL
• Providers in PT Charlotte, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.