MRS. WILEEN LORETTA VANDENOEVER (LICSW) – Clinical Social Worker, NPI 1679503742

MRS. WILEEN LORETTA VANDENOEVER (LICSW) is a healthcare provider. based in Orange park, Florida. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. SW8165 (FL). The NPI Number for MRS. WILEEN LORETTA VANDENOEVER (LICSW) is 1679503742

Main info

Female
Sole Proprietor
Name
MRS. WILEEN LORETTA VANDENOEVER (LICSW)
NPI
1679503742
Phone
(904) 755-1914
Address
5453 HARDEN RD
Enumeration Date
4 July 2006
Last Update Date
3 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. WILEEN LORETTA VANDENOEVER (LICSW)

  • 5453 HARDEN RD

    ORANGE PARK, FL 320657204

    Phone: (904) 755-1914

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110323000771IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes88099$0
90834Psychotherapy, 45 minutes48969$0
90791Psychiatric diagnostic evaluation8373$0
View full utilization report →

Insurance plans in this area (ZIP 32065)

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Reviews

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Frequently asked questions

Can I cross-check MRS. WILEEN LORETTA VANDENOEVER (LICSW) using NPI 1679503742?
NPI 1679503742 belongs to MRS. WILEEN LORETTA VANDENOEVER (LICSW); compare other details if you need extra assurance.
Would MRS. WILEEN LORETTA VANDENOEVER (LICSW) appear as active to a payer?
You can treat MRS. WILEEN LORETTA VANDENOEVER (LICSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. WILEEN LORETTA VANDENOEVER (LICSW)?
At a glance, MRS. WILEEN LORETTA VANDENOEVER (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. WILEEN LORETTA VANDENOEVER (LICSW)?
Directory geography for MRS. WILEEN LORETTA VANDENOEVER (LICSW) centers on Orange Park, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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