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

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: July 26, 2026.

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

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
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

Secondary Practice Locations 3

Location 16630 Orion Dr Ste 201Fort Myers, FL 33912-4440 · Phone (239) 343-1219 · Fax (239) 468-7945
Location 23501 Health Center Blvd Ste 1600Estero, FL 34135-7347 · Phone (239) 343-1219 · Fax (239) 468-7945
Location 313279 N Cleveland AveNorth Fort Myers, FL 33903-4818 · Phone (239) 343-1219 · Fax (239) 468-7945

Other Identifiers 1

Medicaid107980400FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Adult Health)
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905
Surgery (Surgical Oncology)
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905
Nurse Practitioner (Adult Health)
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905
Surgery
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905
Internal Medicine (Hospice and Palliative Medicine)
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905
Nurse Practitioner
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905
Internal Medicine (Hospice and Palliative Medicine)
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905
Nurse Practitioner (Adult Health)
8925 COLONIAL CENTER DR STE 1000
FORT MYERS, FL 33905

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 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.

Where is Jacqueline Bruening Wendorf located?

Jacqueline Bruening Wendorf practices at 8925 Colonial Center Dr Ste 1000, Fort Myers, FL 33905. The listed phone number is (239) 343-9560.

What is Jacqueline Bruening Wendorf's specialty?

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

Is Jacqueline Bruening Wendorf enrolled in Medicare?

Yes. Jacqueline Bruening Wendorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacqueline Bruening Wendorf accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Jacqueline Bruening Wendorf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Bruening Wendorf was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.