Individual provider Active NPI

Wendy S Slesinski, LCSW

  • Mental Health Counselor
  • Pine Bush, NY
National Provider Identifier
1144378159
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0477351R Issued in NY
Practice address
99 Depot Street
Pine Bush, NY 12566-1562
Phone
(845) 744-5147
Fax
(845) 744-8906
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0477351R NY Primary

Addresses

Primary practice location

99 Depot Street
Pine Bush, NY 12566-1562

Mailing address

PO Box 1562
Pine Bush, NY 12566-1562
Phone (845) 744-5147

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200618000153 NY Practitioner - Clinical Social Worker 4587929534 Practice locations: Pine Bush, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

99 Depot St
Pine Bush, NY 12566-7611
Phone (845) 744-5147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0477351RNYMDMental Health Counselor

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144378159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1562",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125661562",
            "telephone_number": "845-744-5147",
            "fax_number": "845-744-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 DEPOT STREET",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125661562",
            "telephone_number": "845-744-5147",
            "fax_number": "845-744-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLESINSKI",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0477351R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bush, NY

Sources for this page

Verify at the official NPI Registry.