Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dennis Darnell Wideman II

Individual provider Clinical Social Worker · NPI 1255153094

Dennis Darnell Wideman II is a Clinical Social Worker in Port St Lucie, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1801 SE Hillmoor Dr Ste B101-103
Port St Lucie, FL 34952-7553
Phone: (772) 463-0444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1255153094
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2024
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address2547 Floridiane Dr, Melbourne, FL 32935-2816

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