Active NPI
Wendy Sorby, M.S.W.
- Clinical Social Worker
- Scarsdale, NY
National Provider Identifier
1043243033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR002558-1
- Practice address
- 40 Henry St
Scarsdale, NY 10583-2602 - Phone
- (914) 472-0036
- Fax
- (914) 722-6727
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR002558-1 | NY | Primary |
Addresses
Primary practice location
40 Henry St
Scarsdale, NY 10583-2602
Mailing address
40 Henry St
Scarsdale, NY 10583-2602
Phone (914) 472-0036
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WS963 | Other | NY | OXFORD PROVIDER |
| 216754 | Other | NY | MHN PROVIDER |
| 363942 | Other | NY | MVP PROVIDER |
| P11112603 | Other | NY | MULTIPLAN PROVIDER |
| 135448 | Other | NY | VALUE OPTIONS PROVIDER |
| 4582707 | Other | NY | AETNA PROVIDER |
| 02037736 | Medicaid | NY | |
| 10764-17806 | Other | NY | CMS PROVIDER |
| 62-27877 | Other | NY | UNITED PROVIDER |
| 749-3797 OR 0049001 | Other | NY | GHI PROVIDER |
Other names 1
- Ms. Wendy Sussman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR002558-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043243033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 HENRY ST",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105832602",
"telephone_number": "914-472-0036",
"fax_number": "914-722-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HENRY ST",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105832602",
"telephone_number": "914-472-0036",
"fax_number": "914-722-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORBY",
"first_name": "WENDY",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR002558-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER",
"identifier": "WS963",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER",
"identifier": "216754",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER",
"identifier": "363942",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN PROVIDER",
"identifier": "P11112603",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER",
"identifier": "135448",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "4582707",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02037736",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS PROVIDER",
"identifier": "10764-17806",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED PROVIDER",
"identifier": "62-27877",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER",
"identifier": "749-3797 OR 0049001",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "SUSSMAN",
"prefix": "MS.",
"credential": "M.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.