Woodbridge Counseling LCSW PC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R0427401 Issued in NY

Legal business name

WOODBRIDGE COUNSELING LCSW PC

Practice address

6161 Transit Road
Suite 4
East Amherst, NY 14051

Phone

(716) 572-2365

Fax

(716) 332-1168

NPI assigned

Sep 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lewis J Novotny, LCSWR ACSW

Title

President Director Clin Social WKR

Phone

(716) 572-2365

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003907973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 TRANSIT ROAD",
            "address_2": "SUITE 4",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-572-2365",
            "fax_number": "716-332-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 TRANSIT ROAD",
            "address_2": "SUITE 4",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "14051",
            "telephone_number": "716-572-2365",
            "fax_number": "716-332-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIDGE COUNSELING LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVOTNY",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR CLIN SOCIAL WKR",
        "authorized_official_telephone_number": "716-572-2365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSWR ACSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0427401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQ HID",
            "identifier": "11579263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica L Winne
• Caroline Patricia Wischerath, PT
• Karen Gail Wiseman
• Wny Adult and Child Neurology, PC
• Wny Senior Care LLC
• Jeffrey John Woodrich, PT
• Yuzon Wu, RPH
• Andrew Wurl
• Cheryl Ann Wutz, RPA-C
• John Anthony Yacovelle IV

• Social Worker in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.