JACQUELINE MARY BRUENING WENDORF LCSW
NPI 1225641780
Social Worker - Clinical in Fort Myers, FL

Q: What is Jacqueline Bruening Wendorf's NPI number?

The NPI number for Jacqueline Bruening Wendorf is 1225641780. It was assigned to this individual provider in the NPPES registry on August 25, 2020.

Q: What is Jacqueline Bruening Wendorf's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since August 25, 2020PECOS EnrolledAccepts Medicare Assignment

8925 COLONIAL CENTER DR STE 1000, FORT MYERS, FL 33905(239) 343-9560(239) 343-9624 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2025, Feb 16, 2022, Aug 25, 2020 (3 updates tracked since 2020).

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About Jacqueline Mary Bruening Wendorf Lcsw NPPES

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

JACQUELINE MARY BRUENING WENDORF LCSW (NPI 1225641780) is an individual clinical provider in Fort Myers, Florida, licensed in Florida (SW4670) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1225641780

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELINE MARY BRUENING WENDORFCredential: LCSW

Location Address8925 COLONIAL CENTER DR STE 1000Fort Myers, FL 33905-7813

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1219 · Fax (239) 468-7945

Phone(239) 343-9560

Fax(239) 343-9624

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateAugust 25, 2020

Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1225641780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW4670

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License SW4670 (FL)

8925 COLONIAL CENTER DR STE 1000, Fort Myers, FL 33905

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Secondary Practice Locations 3

Location 113279 N Cleveland AveNorth Fort Myers, FL 33903-4818 · Phone (239) 343-1219 · Fax (239) 468-7945

Location 26630 Orion Dr Ste 201Fort Myers, FL 33912-4440 · Phone (239) 343-1219 · Fax (239) 468-7945

Location 33501 Health Center Blvd Ste 1600Estero, FL 34135-7347 · Phone (239) 343-1219 · Fax (239) 468-7945

Other Identifiers 1

Medicaid107980400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Mary Bruening Wendorf Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224455571

PECOS Enrollment IDI20200901001221

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jacqueline Bruening Wendorf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System

Same address

Federally Qualified Health Center (FQHC)

8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1720715295 (239) 343-9567

Lee Health System Inc

9.8 mi

Internal Medicine

9981 S HEALTHPARK DR
Fort Myers, FL 33908

Reassigned Medicare billing, Florida enrollment
1,899 clinicians in this Medicare group

NPI 1942058557 (239) 424-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.56 – $179.05

Typical copayment $0.00 (range $14.64 – $44.76)

Most-billed visit code NA

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MS. SUSAN CRING RANKIN APRN

Nurse Practitioner (Adult Health)