Provider Demographics
NPI:1427845247
Name:WELLS, GINGER N (MSW, RCSWI)
Entity type:Individual
Prefix:
First Name:GINGER
Middle Name:N
Last Name:WELLS
Suffix:
Gender:
Credentials:MSW, RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3342 KINARD LN
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34691-1547
Mailing Address - Country:US
Mailing Address - Phone:813-702-3418
Mailing Address - Fax:
Practice Address - Street 1:3342 KINARD LN
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-1547
Practice Address - Country:US
Practice Address - Phone:813-702-3418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical