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WELLMIND LICENSED CLINICAL SOCIAL WORKER PC
NPI 1003504481
Clinic/Center - Adult Mental Health in Palo Alto, CA

Active since April 25, 2023
2100 GENG RD STE 210, PALO ALTO, CA 94303(833) 646-3243 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wellmind Licensed Clinical Social Worker Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLMIND LICENSED CLINICAL SOCIAL WORKER PC (NPI 1003504481) is a healthcare organization registered as an adult mental health in Palo Alto, California and active in the NPI registry since April 2023. The organization lists Laura Beann, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003504481
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameWELLMIND LICENSED CLINICAL SOCIAL WORKER PC
Location Address2100 GENG RD STE 210Palo Alto, CA 94303-3307
Mailing Address2100 Geng Rd Ste 210Palo Alto, CA 94303-3307 · (833) 646-3243
Phone(833) 646-3243
Organization SubpartNo
Authorized OfficialLaura BeannChief Executive Officer · (833) 646-3243
Enumeration DateApril 25, 2023
Last NPPES UpdateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
✔ NPI 1003504481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

2100 GENG RD STE 210, Palo Alto, CA 94303
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLMIND.ONLINE INC.
Specialist/Technologist, Health Information (Coding Specialist, Physician Office Based)
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (833) 646-3243
MRS. JAIME ALLISON CARRILLO LCSW, MSW, MPH
Social Worker (Clinical)
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (833) 646-3243
CHRISTINE L. ELLIS
Social Worker (Clinical)
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (530) 776-0552
NICOLE CHUDY
Student in an Organized Health Care Education/Training Program
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (833) 646-3243
JACQUELINE ANDERSON
Student in an Organized Health Care Education/Training Program
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (833) 646-3243
MEAGAN BARTER
Student in an Organized Health Care Education/Training Program
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (833) 646-3243
WENDY Y ONG
Student in an Organized Health Care Education/Training Program
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (833) 646-3243
LAURA BEANN LCSW
Social Worker (Clinical)
2100 GENG RD STE 210
PALO ALTO, CA 94303
San Mateo County (833) 646-3243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellmind Licensed Clinical Social Worker PC's NPI number?

The NPI number for Wellmind Licensed Clinical Social Worker PC is 1003504481. It was assigned to this organization in the NPPES registry on April 25, 2023.

Where is Wellmind Licensed Clinical Social Worker PC located?

Wellmind Licensed Clinical Social Worker PC is located at 2100 Geng Rd Ste 210, Palo Alto, CA 94303. The listed phone number is (833) 646-3243.

What is Wellmind Licensed Clinical Social Worker PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Wellmind Licensed Clinical Social Worker PC was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.