Individual provider Active NPI

Wendy Ruth Muchnick, LCSW

  • Clinical Social Worker
  • Cedarhurst, NY
National Provider Identifier
1205944626
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R034963 Issued in NY
Practice address
123 Grove Ave
Suite 202
Cedarhurst, NY 11516-2322
Phone
(516) 569-7805
NPI assigned
Aug 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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 R034963 NY Primary

Addresses

Primary practice location

123 Grove Ave
Suite 202
Cedarhurst, NY 11516-2322

Mailing address

123 Grove Ave
Suite 202
Cedarhurst, NY 11516-2322
Phone (516) 569-7805

Other identifiers 4

IdentifierTypeStateIssuer
096041000OtherNYMAGELLEN
5344693OtherNYAETNA
02033810MedicaidNY
3101939OtherNYGHI

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
I20101112000733 NY Practitioner - Clinical Social Worker 7719172964 Practice locations: Cedarhurst, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Grove Ave
Suite 202
Cedarhurst, NY 11516-2302
Phone (516) 569-7805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R034963NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1205944626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GROVE AVE",
            "address_2": "SUITE 202",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162322",
            "telephone_number": "516-569-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GROVE AVE",
            "address_2": "SUITE 202",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162322",
            "telephone_number": "516-569-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHNICK",
        "first_name": "WENDY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-26",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLEN",
            "identifier": "096041000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5344693",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02033810",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3101939",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.