Individual provider Active NPI

Yael Wedeck, LCSW

  • Clinical Social Worker
  • Nutley, NJ
National Provider Identifier
1043384019
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04631400 Issued in NJ
Practice address
661 Franklin Ave FL 2
Nutley, NJ 07110-1209
Phone
(908) 627-1937
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04631400 NJ Primary

Addresses

Primary practice location

661 Franklin Ave FL 2
Nutley, NJ 07110-1209

Mailing address

350 South Pkwy
Clifton, NJ 07014
Phone (973) 470-0640

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050505000051 NJ Practitioner - Clinical Social Worker 8729028121 Practice locations: Clifton, NJ; Nutley, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 S Pkwy
Clifton, NJ 07014-1225
Phone (973) 815-1673

661 Franklin Ave
Nutley, NJ 07110-1209
Phone (908) 627-1937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Groman, LCSW and Therapy Associates LLC Clinical Past Accepting new patients
Daughters of Miriam Past Accepting new patients
Quaker State Medical Services Co Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1043384019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SOUTH PKWY",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07014",
            "telephone_number": "973-470-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 FRANKLIN AVE FL 2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101209",
            "telephone_number": "908-627-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDECK",
        "first_name": "YAEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04631400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.