Individual provider Active NPI

Helene Wurtzel, LCSW

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1114512811
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098430 Issued in NY
Practice address
1 Radisson PLZ FL 9
New Rochelle, NY 10801-5768
Phone
(914) 369-1934
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111454 NY
Clinical Social Worker 1041C0700X 098430 NY Primary

Addresses

Primary practice location

1 Radisson PLZ FL 9
New Rochelle, NY 10801-5768

Mailing address

667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455
Phone (845) 279-5908

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
I20260427001700 CT Practitioner - Clinical Social Worker 7810464930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Jewish Family Services of Greenwich IncGroup PAC ID 2062497001, 18 clinicians

Practice addresses (Care Compare)

67 Holly Hill LN
Greenwich, CT 06830-6072
Phone (203) 622-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111454NYMDSocial Worker
098430NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Clinical CurrentSince May 6, 2020 Accepting new patients
Jewish Family Services of Greenwich Inc Clinical Past Accepting new patients

Locations

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

1 Radisson Plz
Fl 9
New Rochelle, NY 10801
Phone (914) 369-1934

10 Pearl St
#2
Port Chester, NY 10573
Phone (914) 265-2762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1114512811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-279-5908",
            "fax_number": "845-622-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RADISSON PLZ FL 9",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015768",
            "telephone_number": "914-369-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURTZEL",
        "first_name": "HELENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111454",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.