JACQUELINE MARY BRUENING WENDORF (NPI# 1225641780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225641780 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARY BRUENING WENDORF |
| Credential | LCSW |
| Practice Address |
8925 Colonial Center Dr Ste 1000 Fort Myers FL 33905-7813 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393439560 |
| Practice Fax Number | 2393439624 |
| Mailing Telephone | 2393439560 |
| Mailing Fax Number | 2393439624 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW4670 | FL | Behavioral Health & Social Service Providers |
| Street Address |
8925 COLONIAL CENTER DR STE 1000 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199567 | Susan Cring Rankin | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2006-01-19 |
| 1962019836 | Tia Danielle Gloster | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2020-09-25 |
| 1982054078 | Diana Khalil | Internal Medicine | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2016-06-20 |
| 1144679739 | Leonalba Martinez | Internal Medicine | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905-7813 | 2016-06-06 |
| 1083008494 | Jacquiline N Greenwald | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2015-03-24 |
| 1629480603 | Teresa Thompson | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2014-05-27 |
| 1972859346 | Christina Marie Caffee | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2012-08-03 |
| 1437414711 | Jonathan Wayne Vonkoenig | Family Medicine | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2012-07-12 |
| 1871858621 | Marion O'hagan | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2012-07-09 |
| 1992083265 | Brenda Kay Eastham | Nurse Practitioner | 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905 | 2011-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473554 | Karen Murray | Social Worker | 1531 Passaic Ave, Fort Myers, FL 33901-6840 | 2020-09-24 |
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1184232795 | Nelson L Hadler, LLC | Social Worker | 15611 New Hampshire Ct, Fort Myers, FL 33908-4171 | 2020-07-20 |
| 1346863164 | Nancy Sanchez | Social Worker | 17144 Ravens Roost Apt 9, Fort Myers, FL 33908-4482 | 2020-05-27 |
| 1124641279 | Cathylee Weber | Social Worker | 8920 Fawn Ridge Dr, Fort Myers, FL 33912-1483 | 2020-05-24 |
| 1588287122 | Carolina's Compassionate Counseling | Social Worker | 11920 Fairway Lakes Dr Ste 3, Fort Myers, FL 33913-8368 | 2020-05-18 |
| 1386287415 | Carey Danna | Social Worker | 12557 New Brittany Blvd Ste 3, Fort Myers, FL 33907-3651 | 2019-10-22 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1518460419 | Jessica Ruth Yost Bledsoe | Social Worker | 8570 Cypress Lake Dr, Fort Myers, FL 33919-5117 | 2018-03-16 |
| 1427594191 | Rosemitha Lynch | Social Worker | 12429 Rock Ridge Ln, Fort Myers, FL 33913-6764 | 2017-01-18 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.