Scott Wunder, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074334-1 Issued in NY

Practice address

280 Broadway Ste Newburgh
Newburgh, NY 12550-5408

Phone

(845) 562-7326

Fax

(845) 565-0826

NPI assigned

Apr 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1073977229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BROADWAY SUITE 200",
            "address_2": "NEWBURGH MENTAL HEALTH CLINIC",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508770",
            "telephone_number": "845-562-7326",
            "fax_number": "845-565-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROADWAY STE NEWBURGH",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505408",
            "telephone_number": "845-562-7326",
            "fax_number": "845-565-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "SCOTT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "74334-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Woodberry, LPN
• Vanessa Woods, RN
• Marcietta Woody
• Andre Woroschinski Jr., COTA/L
• Tracy Wright, DNP
• Sioban Mary Wynne, RN
• Simangaye Xaba, RN
• Melissa Yanarella, PHARM.D
• Hye Ji Yang, MD
• Ruozhu Yang, M.D.

• Clinical Social Worker in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.