Individual provider Active NPI

Wendy Levitt Steele, LCSW

  • Clinical Social Worker
  • Saint Marys, GA
National Provider Identifier
1891857249
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW001280 Issued in GA
Practice address
1712 Osborne Rd
Ste a
Saint Marys, GA 31558-9103
Phone
(912) 882-5515
Fax
(912) 265-7858
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW001280 GA Primary

Addresses

Primary practice location

1712 Osborne Rd
Ste a
Saint Marys, GA 31558-9103

Mailing address

106 Shoppers Way Ste 115
Brunswick, GA 31525-0522
Phone (912) 265-7660

Other identifiers 1

IdentifierTypeStateIssuer
00975279CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000257 GA Practitioner - Clinical Social Worker 5294996823 Practice locations: Brunswick, GA; Saint Marys, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1280GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McLaulin Practice LLC Past Accepting new patients
M.J. Martelli, M.D. Past Accepting new patients
Robert E. Holland, M.D., P.C. Past Accepting new patients
Marc W. Eaton, PH.D., P.C. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1891857249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY STE 115",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250522",
            "telephone_number": "912-265-7660",
            "fax_number": "912-265-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 OSBORNE RD",
            "address_2": "STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589103",
            "telephone_number": "912-882-5515",
            "fax_number": "912-265-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "WENDY",
        "middle_name": "LEVITT",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00975279C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

Verify at the official NPI Registry.