Jennifer Mary Wixted, LCSW, CAP is a
Social Worker - Clinical based in Sanford, Florida. Jennifer Mary Wixted is licensed to practice in Florida (license number SW9852) and her current practice location is
300 S Bay Ave, Sanford, Florida. She can be reached at her office (for appointments etc.) via phone at
(407) 321-4357.
NPI number for Jennifer Mary Wixted is 1699963587 and her current mailing address is 14139 Turning Leaf Dr, Orlando, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699963587.
Healthcare Provider's Profile
Full Name | Jennifer Mary Wixted |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 300 S Bay Ave, Sanford, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699963587
- Provider Enumeration Date: 10/04/2007
- Last Update Date: 03/18/2016
Medical Identifiers
Medical identifiers for Jennifer Mary Wixted such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699963587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SW9852 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Mary Wixted is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Mary Wixted, LCSW, CAP 14139 Turning Leaf Dr, Orlando, FL 32828-7488 Ph: (321) 258-0873 | Jennifer Mary Wixted, LCSW, CAP 300 S Bay Ave, Sanford, FL 32771-2141 Ph: (407) 321-4357 |
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