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

Jacqueline Mary Bruening Wendorf, LCSW

Individual provider Clinical Social Worker · NPI 1225641780

Jacqueline Mary Bruening Wendorf, LCSW is a Clinical Social Worker in Fort Myers, Florida. Qualified in 1992, 34 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

8925 Colonial Center Dr Ste 1000
Fort Myers, FL 33905-7813
Phone: (239) 343-9560
Fax: (239) 343-9624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3501 Health Center Blvd Ste 1600, Estero, FL 34135-7347 — (239) 343-1219
  • 6630 Orion Dr Ste 201, Fort Myers, FL 33912-4440 — (239) 343-1219
  • 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 — (239) 343-1219

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW4670 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence SW4670 (FL)

Record details

NPI number1225641780
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 25, 2020
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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