Individual provider Active NPI

Hillary Marie Wisniewski, LCSW

  • Clinical Social Worker
  • Oil City, PA
National Provider Identifier
1104294628
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020298 Issued in PA
Practice address
529 Bouquin Cir
Oil City, PA 16301-3070
Phone
(814) 657-2486
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 CW020298 PA Primary

Addresses

Primary practice location

529 Bouquin Cir
Oil City, PA 16301-3070

Mailing address

529 Bouquin Cir
Oil City, PA 16301-3070
Phone (814) 657-2486

Other practice location 1

716 E 2nd St
Oil City, PA 16301-2330
Phone (814) 677-4005

Other identifiers 1

IdentifierTypeStateIssuer
103070790MedicaidPA

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020298PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service and Children's Aid Society of Venango County CurrentSince Jan 8, 2019 Accepting new patients

Locations

716 E 2nd St
Oil City, PA 16301
Phone (814) 677-4005

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1104294628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BOUQUIN CIR",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163013070",
            "telephone_number": "814-657-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BOUQUIN CIR",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163013070",
            "telephone_number": "814-657-2486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Oil City",
            "state": "PA",
            "postal_code": "163012330",
            "country_code": "US",
            "telephone_number": "814-677-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "HILLARY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103070790",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oil City, PA

Sources for this page

Verify at the official NPI Registry.