Individual provider Active NPI

Amy M Wiest-D'Anna, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1184643637
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072227 Issued in NY
Practice address
175 W 79TH St
Ste 1a
New York, NY 10024-6450
Phone
(212) 414-5328
Fax
(212) 580-9418
NPI assigned
Jul 18, 2006
Last updated
May 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2009

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 072227 NY Primary

Addresses

Primary practice location

175 W 79TH St
Ste 1a
New York, NY 10024-6450

Mailing address

304 W 75TH St
8H
New York, NY 10023-1689
Phone (212) 496-0873

Other identifiers 1

IdentifierTypeStateIssuer
072227OtherNYLCSW LICENSE NUMBER

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1184643637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 75TH ST",
            "address_2": "8H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231689",
            "telephone_number": "212-496-0873",
            "fax_number": "212-580-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 79TH ST",
            "address_2": "STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246450",
            "telephone_number": "212-414-5328",
            "fax_number": "212-580-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEST-D'ANNA",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "072227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.