Active NPI
Alice Kane Wolson, DSW
- Mental Health Counselor
- Scarsdale,, NY
National Provider Identifier
1053410399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PR017473-1
- Practice address
- 2 Brambach Avenue
Scarsdale,, NY 10184 - Phone
- (914) 723-1935
- NPI assigned
- Sep 22, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PR017473-1 | NY | Primary |
Addresses
Primary practice location
2 Brambach Avenue
Scarsdale,, NY 10184
Mailing address
11 E 87TH St Apt 10D
New York, NY 10128-0582
Phone (212) 426-2609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090408000434 | NY | Practitioner - Clinical Social Worker | 1658428644 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1070 Park Ave
New York, NY 10128-1000
Phone (917) 710-2460
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR017473-1 | NY | MD | Mental Health Counselor |
| 017473 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053410399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E 87TH ST APT 10D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280582",
"telephone_number": "212-426-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BRAMBACH AVENUE",
"city": "SCARSDALE,",
"state": "NY",
"postal_code": "10184",
"telephone_number": "914-723-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLSON",
"first_name": "ALICE",
"middle_name": "KANE",
"name_prefix": "Dr.",
"credential": "DSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "PR017473-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 8, 2007; 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.