Active NPI
Wendy Jeanette Holness, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1093919987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 067635
- Practice address
- 4119 White Plains Rd
Bronx, NY 10466-3007 - Phone
- (718) 652-0227
- Fax
- (718) 652-9275
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 067635 | NY | Primary |
Addresses
Primary practice location
4119 White Plains Rd
Bronx, NY 10466-3007
Mailing address
4326 De Reimer Ave
Bronx, NY 10466-1820
Phone (718) 325-5297
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067635 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093919987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4326 DE REIMER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104661820",
"telephone_number": "718-325-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4119 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104663007",
"telephone_number": "718-652-0227",
"fax_number": "718-652-9275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLNESS",
"first_name": "WENDY",
"middle_name": "JEANETTE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "067635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.