Individual provider Active NPI

Joan Sosnowitz Wyner, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1093834632
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004262 Issued in CT
Practice address
72 North St
Ste 103
Danbury, CT 06810-5653
Phone
(203) 756-8021
Fax
(203) 596-9038
NPI assigned
Mar 28, 2007
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 004262 CT Primary

Addresses

Primary practice location

72 North St
Ste 103
Danbury, CT 06810-5653

Mailing address

72 North St
Ste 103
Danbury, CT 06810-5653
Phone (203) 756-8021

Other practice location 1

23 Poplar St
New Milford, CT 06776-2901
Phone (860) 210-5350 ext. 35357

Other identifiers 1

IdentifierTypeStateIssuer
004231594MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050119000518 CT Practitioner - Clinical Social Worker 5092764878 Practice locations: Danbury, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

72 N St
Suite 103
Danbury, CT 06810-5653
Phone (203) 748-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004262CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rhoda Banks LCSW LLC Past Accepting new patients
Cross Roads Counseling, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1093834632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 NORTH ST",
            "address_2": "STE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105653",
            "telephone_number": "203-756-8021",
            "fax_number": "203-596-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NORTH ST",
            "address_2": "STE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105653",
            "telephone_number": "203-756-8021",
            "fax_number": "203-596-9038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Poplar St",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067762901",
            "country_code": "US",
            "telephone_number": "860-210-5350 x35357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYNER",
        "first_name": "JOAN",
        "middle_name": "SOSNOWITZ",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004231594",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.