Active NPI
Jordan Lynne Wendel, MSW, LSW
- Social Worker
- Dayton, OH
National Provider Identifier
1881331833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 601 S Edwin C Moses Blvd
Dayton, OH 45417-3424 - Phone
- (937) 934-4327
- NPI assigned
- May 19, 2022
- Last updated
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary | |
| Community Health Worker | 172V00000X | NU |
Addresses
Primary practice location
601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Mailing address
601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone (937) 734-4327
Other practice location 1
1801 Watermark Dr
Columbus, OH 43215-7088
Phone (614) 438-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1881331833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173424",
"telephone_number": "937-734-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173424",
"telephone_number": "937-934-4327"
}
],
"practiceLocations": [
{
"address_1": "1801 Watermark Dr",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432157088",
"country_code": "US",
"telephone_number": "614-438-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENDEL",
"first_name": "JORDAN",
"middle_name": "LYNNE",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.