Individual provider Active NPI

Wanda L Carl, LMSW

  • Social Worker
  • Corning, NY
National Provider Identifier
1144097726
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
121849 Issued in NY
Practice address
8 Denison Pkwy E Ste 305
Corning, NY 14830-2644
Phone
(607) 654-4450
NPI assigned
Dec 5, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 121849 NY Primary

Addresses

Primary practice location

8 Denison Pkwy E Ste 305
Corning, NY 14830-2644

Mailing address

8 Denison Pkwy E Ste 305
Corning, NY 14830-2644
Phone (607) 654-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
121849NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Counseling Practicing Licensed Clinical Social Work PLLC CurrentSince Dec 10, 2023 Accepting new patients
J & J Partner Consulting, LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

8 Denison Pkwy E
Ste 305
Corning, NY 14830
Phone (607) 654-4450

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1144097726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DENISON PKWY E STE 305",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302644",
            "telephone_number": "607-654-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DENISON PKWY E STE 305",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302644",
            "telephone_number": "607-654-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARL",
        "first_name": "WANDA",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "121849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.