Audrey Wentworth & Associates P.a.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1569 Issued in FL

Legal business name

AUDREY WENTWORTH & ASSOCIATES P.A.

Practice address

2650 Bahia Vista St
Suite 208
Sarasota, FL 34239-2635

Phone

(941) 316-0390

Fax

(941) 951-2658

NPI assigned

Mar 5, 2010

Last updated

Oct 15, 2013By 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

Audrey Wentworth, L.C.S.W.NPI 1922246453

Title

President

Phone

(941) 316-0390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Audrey Elaine Wentworth, LCSW

  • Social Worker
  • Sarasota, FL
  • NPI 1922246453
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1871816769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 208",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392635",
            "telephone_number": "941-316-0390",
            "fax_number": "941-951-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "SUITE 208",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392635",
            "telephone_number": "941-316-0390",
            "fax_number": "941-951-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY WENTWORTH & ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "WENTWORTH",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-316-0390",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Douglas Augustine, D.C.

• Clinical Social Worker in Sarasota, FL
• Providers in Sarasota, 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 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.