Wendy Williams Bordelon, MSW, LCSW, BACS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4150 Issued in LA

Practice address

7215 Shreveport Hwy
Pineville, LA 71360-2725

Phone

(318) 419-3132

NPI assigned

May 30, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Awakening Christian Counseling, LLC

  • Clinical Social Worker
  • Pineville, LA
  • NPI 1679871339
  Authorized official Same address or phone

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296864000000",
    "number": "1891742185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 WATSON RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713609038",
            "telephone_number": "318-640-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 SHREVEPORT HWY",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713602725",
            "telephone_number": "318-419-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "WENDY",
        "middle_name": "WILLIAMS",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, BACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijaya L. Boppana, M.D.
• Benjamin Paul Bordelon
• Danna Dyess Bordelon, M.S.W., L.C.S.W.
• Jessica Bordelon, PHARMD.
• Sabrina Jewel Bordelon, LCSW
• Paul Borrel, RPH
• Dennis Clyde Botts, LCSW
• Kenneth W Boudreaux, R.PH.
• Angela C. Bovain, PHARMD
• Mark Thomas Bowen, O.D.

• Clinical Social Worker in Pineville, LA
• Providers in Pineville, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2011; 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.