Ilene Wagner Kessler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R027290-1 Issued in NY

Practice address

5 Hollyberry Rd
Plainview, NY 11803-2621

Phone

(516) 931-3547

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1114194289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLYBERRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032621",
            "telephone_number": "516-931-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOLLYBERRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032621",
            "telephone_number": "516-931-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER KESSLER",
        "first_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027290-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Vitucci, D.O
• Anastasiya Vladychack
• Voices in Motion Speech & Occupational Therapy, PLLC
• VR-1 Psychological Solutions, PLLC
• Barbara J Wachs, DDS
• Caroline Rose Wagner
• Rafeh Waheed, DO
• Ellen Waidner, PT, DPT
• J Walker, MD
• Danielle J Walowitz

• Clinical Social Worker in Plainview, NY
• Providers in Plainview, 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 May 8, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.