Evelyn M. Wenzel, LCSW, CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW5764 Issued in FL

Practice address

1850 Lee Rd Ste 215
6700 S. Florida Ave., Suite 29 Lakeland, FL
Winter Park, FL 32789-2106

Phone

(407) 375-1214

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Safe Harbor Christian Counseling

  • Professional Counselor
  • Waldorf, MD
  • NPI 1568835072

  Clinical

  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1962598607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 COUNTRY LAKES DR",
            "city": "BELLE ISLE",
            "state": "FL",
            "postal_code": "328123530",
            "telephone_number": "407-375-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LEE RD STE 215",
            "address_2": "6700 S. FLORIDA AVE., SUITE 29 LAKELAND, FL",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892106",
            "telephone_number": "407-375-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZEL",
        "first_name": "EVELYN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "3086",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD-",
            "identifier": "Z002Y",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wells Specialty Pharmacy Inc
• Wells Specialty Pharmacy Inc
• Ashley Wells
• Laura Beth Wells, M.ED.
• Wellspring Therapy Associates
• Stephanie Wernberg, MA, LMHC, NCC
• Wesley E. Meyers, DMD, PA
• John Franklin West Jr., M.ED./ED.S.
• Alyssa Westervelt
• Clairiess Westmoreland

• Clinical Social Worker in Winter Park, FL
• Providers in Winter Park, 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 May 29, 2014; 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.