Organization Active NPI

Emily Wollman LCSW PLLC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1104088525
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069541 Issued in NY
Legal business name
EMILY WOLLMAN LCSW PLLC
Practice address
201 E 34TH St
5TH Floor
New York, NY 10016-4765
Phone
(917) 751-9414
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Ms. Emily Wollman, LCSW
Title
Owner
Phone
(917) 751-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 069541 NY Primary

Addresses

Primary practice location

201 E 34TH St
5TH Floor
New York, NY 10016-4765

Mailing address

8801 Shore Rd
#6Ce
Brooklyn, NY 11209-5450
Phone (917) 751-9414

Other identifiers 5

IdentifierTypeStateIssuer
1181092OtherNYAETNA, INC.
069541OtherNYHIP
359576OtherNYMHN
7747780OtherNYAETNA, INC.
P3657077OtherNYOXFORD HEALTH PLANS

National Provider Directory

National Provider Directory

Locations

201 E 34th St
#5
New York, NY 10016
Phone (212) 642-8594

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1104088525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 SHORE RD",
            "address_2": "#6CE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095450",
            "telephone_number": "917-751-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 34TH ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164765",
            "telephone_number": "917-751-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY WOLLMAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WOLLMAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-751-9414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, INC.",
            "identifier": "1181092",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "069541",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "359576",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA, INC.",
            "identifier": "7747780",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3657077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.