Individual provider Active NPI

Wendy B Mayper, LCSW

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1821421884
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11295 Issued in FL
Practice address
12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989
Phone
(239) 829-5494
Fax
(239) 645-4777
NPI assigned
Aug 14, 2013
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 SW11295 FL Primary

Addresses

Primary practice location

12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989

Mailing address

12791 World Plaza LN BLDG 89
Fort Myers, FL 33907-3989
Phone (239) 829-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130912000112 FL Practitioner - Clinical Social Worker 8426292590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8470 Enterprise Cir
Suite 301B
Lakewood Ranch, FL 34202-4105
Phone (941) 344-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11295FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Oct 16, 2018 Accepting new patients
Center of Revitalizing Psychiatry, P.C. CurrentSince Apr 1, 2024 Accepting new patients
MCR Health, Inc. CurrentSince Oct 16, 2018 Accepting new patients
Seasons Therapy LLC Clinical CurrentSince Mar 1, 2022 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Apr 1, 2024 Accepting new patients

Locations

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

2033 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 677-3366

5429 University Pkwy
University Park, FL 34201

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1821421884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12791 WORLD PLAZA LN BLDG 89",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073989",
            "telephone_number": "239-829-5494",
            "fax_number": "239-645-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12791 WORLD PLAZA LN BLDG 89",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073989",
            "telephone_number": "239-829-5494",
            "fax_number": "239-645-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYPER",
        "first_name": "WENDY",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.