Alexander Basil Edward Wilson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

116438 Issued in NY

Practice address

131 Ny-25a Ste 4
Rocky Point, NY 11778

Phone

(516) 297-1847

NPI assigned

Aug 9, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Behavioral Health Associates, LCSW PC

  • Clinical Social Worker
  • Rocky Point, NY
  • NPI 1891209888
  NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1114600962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LIDGE DR",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381648",
            "telephone_number": "631-891-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NY-25A STE 4",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "11778",
            "telephone_number": "516-297-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ALEXANDER",
        "middle_name": "BASIL EDWARD",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "116438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Weston-Bloom, MSED, BCBA
• Adam Wetcher, M.D.
• Jerome White
• Shalieshia Senea White, RN
• Emily Wiegel, OTR/L
• Sonmi P. Wong, O.D.
• Luis Fabian Yepes, L.AC
• Wyanna Yeung
• Kathleen Anne Yoneyama, L.AC
• Jennette Zubeck, NP, RN

• Social Worker in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.