Individual provider Active NPI

Wendy Barbara Pliner, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1164592838
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R032198-1 Issued in NY
Practice address
10245 67TH Rd
Apt 1T
Forest Hills, NY 11375-2628
Phone
(917) 763-2284
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R032198-1 NY Primary

Addresses

Primary practice location

10245 67TH Rd
Apt 1T
Forest Hills, NY 11375-2628

Mailing address

6419 Fitchett St
Rego Park, NY 11374-5050
Phone (917) 763-2284

Other identifiers 6

IdentifierTypeStateIssuer
01774294MedicaidNY
134291OtherNYVALUE OPTIONS PROVIDER #
7400319OtherNYGHI PROVIDER #
MIS140889-000OtherNYMIS NUMBER
MHN352692OtherNYMHN PROVIDER #
P1228152OtherNYOXFORD PROV ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R032198-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1164592838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 FITCHETT ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745050",
            "telephone_number": "917-763-2284",
            "fax_number": "718-896-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 67TH RD",
            "address_2": "APT 1T",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752628",
            "telephone_number": "917-763-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLINER",
        "first_name": "WENDY",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032198-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01774294",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "134291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER #",
            "identifier": "7400319",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIS NUMBER",
            "identifier": "MIS140889-000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PROVIDER #",
            "identifier": "MHN352692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROV ID #",
            "identifier": "P1228152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.