Brenda Wetzel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34001342 Issued in IN

Practice address

17903 S.R. 23
Suite #3
South Bend, IN 46635

Phone

(574) 243-7730

Fax

(574) 243-7735

NPI assigned

Mar 7, 2006

Last updated

Nov 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 IN

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wetzel Therapy Inc

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1801192026
  Medicare reassignment Authorized official
• Bodnar Counseling, Inc.

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1538465752
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290211200000",
    "number": "1851368195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54410 NORTHERN AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351632",
            "telephone_number": "574-273-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17903 S.R. 23",
            "address_2": "SUITE #3",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46635",
            "telephone_number": "574-243-7730",
            "fax_number": "574-243-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZEL",
        "first_name": "BRENDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avianna Wesson, RBT
• Ebony West
• Marianne V West, M.S.W., L.C.S.W.
• Alison Westerink, LMHC, CT
• Wetzel Therapy Inc
• Nicole Ashley Wheeler
• Tara Wheeler, FNP
• Arrianna Whicker
• Julie Kay Whitaker, MPA-C
• Rachel Eleanor Whitcomb, FNP BC, CNM

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.