Amanda H Wisolmerski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06076200 Issued in NJ

Practice address

98 Roosevelt Blvd
Florham Park, NJ 07932-2421

Phone

(973) 255-9732

NPI assigned

Mar 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rooted in Resilience LLC

  • Mental Health Counselor
  • Florham Park, NJ
  • NPI 1831919141
  Medicare reassignment NPD Authorized official
• Helene Miller, MD, LLC

  • Child & Adolescent Psychiatry Physician
  • Paramus, NJ
  • NPI 1902261530
  Medicare reassignment NPD

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1023766672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N CHESTNUT ST APT 408",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611046",
            "telephone_number": "973-255-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 ROOSEVELT BLVD",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322421",
            "telephone_number": "973-255-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISOLMERSKI",
        "first_name": "AMANDA",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-14",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06076200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya Williams
• Jessie Swain Wilt, M.D.
• Meredith Christine Wing
• Winningbalance Nutrition LLC
• Jonathan S Winter, DPT
• Wonderful Ways Speech Therapy
• Andrew Thomas Wong, M.D.
• Work in Motion LLC
• Alicia Wright
• Wynwood Florham Park

• Clinical Social Worker in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.