Jenna Wonish-Mottin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34009559A Issued in IN

Practice address

10901 Darmstadt Rd
Evansville, IN 47710-5027

Phone

(502) 430-2256

NPI assigned

Jan 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jenna Wonish Former name

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1871000919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 DARMSTADT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105027",
            "telephone_number": "502-430-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 DARMSTADT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105027",
            "telephone_number": "502-430-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Communication Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "63401",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1032 Crosswinds Ct",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633854836",
            "country_code": "US",
            "telephone_number": "636-332-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Sawdust Rd Ste 3120",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802242",
            "country_code": "US",
            "telephone_number": "502-430-2256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 Crosshaven Ct",
            "address_purpose": "LOCATION",
            "city": "Weldon Spring",
            "state": "MO",
            "postal_code": "633040500",
            "country_code": "US",
            "telephone_number": "502-430-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONISH-MOTTIN",
        "first_name": "JENNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018027453",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67300",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009559A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "WONISH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Alise Wolf, PA-C
• Michael Christopher Wolf, DDS
• Hailee M Wolfe, MSW
• Malea Dawn Wolfe, ACNP-BC
• Richard Wong
• Ally Christine Wood, FNP-C
• Jessica Kristeen Wood, MOT, OTR/L
• Julie Ann Wood, M.D.
• Lacey Wood
• Michael Wood

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, 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 Aug 21, 2024; 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.