Nina Kaye Wells, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

253826 Issued in KY

Practice address

1312 Westen St
Bowling Green, KY 42104-3352

Phone

(270) 904-1072

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1821586090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 WESTEN ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043352",
            "telephone_number": "270-904-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 WESTEN ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043352",
            "telephone_number": "270-904-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "996 Wilkinson Trce",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421033407",
            "country_code": "US",
            "telephone_number": "270-904-1072",
            "fax_number": "270-904-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "NINA",
        "middle_name": "KAYE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "253826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellington Parc Health Systems, Inc. (Wellington Parc of Bowling Green)
• Bryan Cody Wells, BHS
• Carmen Wells, M.S., CCC-SP
• Heather Wells, APRN
• Jalonda J Wells, RBT
• Shelbie Wells, CSW, TCADC
• Sherry L Wells, CST/CSFA
• Thomas Wells, D.O.
• Jennifer S. Wentworth, M.D.
• Rance Wentworth, M.D.

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.