Individual provider Active NPI

Natalie Brooks Wilson, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1043490022
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R069378-1 Issued in NY
Practice address
8974 162ND St
Jamaica, NY 11432-5011
Phone
(718) 206-3440
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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 R069378-1 NY Primary

Addresses

Primary practice location

8974 162ND St
Jamaica, NY 11432-5011

Mailing address

8974 162ND St
Jamaica, NY 11432-5011
Phone (718) 206-3440

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

LicenseStateTypeSpecialty
R069378-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Steinway Child and Family Services, Inc. Clinical PastSince Jul 16, 2008 Accepting new patients
Karat Health, 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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1043490022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 162ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325011",
            "telephone_number": "718-206-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8974 162ND ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325011",
            "telephone_number": "718-206-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS WILSON",
        "first_name": "NATALIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.