Individual provider Active NPI

Audrey Elaine Wentworth, LCSW

  • Social Worker
  • Sarasota, FL
National Provider Identifier
1922246453
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW1569 Issued in FL
Practice address
2650 Bahia Vista St
#105
Sarasota, FL 34239-2611
Phone
(941) 316-0390
Fax
(941) 951-2658
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW1569 FL Primary

Addresses

Primary practice location

2650 Bahia Vista St
#105
Sarasota, FL 34239-2611

Mailing address

2650 Bahia Vista St
#105
Sarasota, FL 34239-2611
Phone (941) 316-0390

Other names 1

  • Audrey Babcock-Wentworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • 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
I20050203000652 FL Practitioner - Clinical Social Worker 9739130048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2650 Bahia Vista St
Suite 105
Sarasota, FL 34239-2611
Phone (941) 316-0390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1569FLMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Audrey Wentworth & Associates P.a. CurrentSince Sep 12, 1989 Accepting new patients

Locations

2650 Bahia Vista St
Ste 105
Sarasota, FL 34239
Phone (941) 316-0380

Organizations & group practices 1

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1922246453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST",
            "address_2": "#105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392611",
            "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": "#105",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392611",
            "telephone_number": "941-316-0390",
            "fax_number": "941-951-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "AUDREY",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "BABCOCK-WENTWORTH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.