Active NPI
Susan A. Wesnoski, LCSW
- Clinical Social Worker
- Narberth, PA
National Provider Identifier
1174803365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017261
- Practice address
- 104.5 Forrest Avenue
Suite 27- the Holly Building
Narberth, PA 19072-2215 - Phone
- (610) 664-2524
- NPI assigned
- Aug 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017261 | PA | Primary |
Addresses
Primary practice location
104.5 Forrest Avenue
Suite 27- the Holly Building
Narberth, PA 19072-2215
Mailing address
104.5 Forrest Avenue
Suite 27 -the Holly Building
Narberth, PA 19072
Phone (161) 066-4252
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW017261 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1174803365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104.5 FORREST AVENUE",
"address_2": "SUITE 27 -THE HOLLY BUILDING",
"city": "NARBERTH",
"state": "PA",
"postal_code": "19072",
"telephone_number": "161-066-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104.5 FORREST AVENUE",
"address_2": "SUITE 27- THE HOLLY BUILDING",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722215",
"telephone_number": "610-664-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESNOSKI",
"first_name": "SUSAN",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.