Lynn A. Wasielewski, LMSW

Individual provider Active NPI Social Worker · North Collins, NY

NPI 1215019286 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1215019286
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
052867-1 (NY)
Practice address
2107 Spruce Street North Collins
North Collins, NY 14111
Phone
(716) 337-3706
Fax
(716) 337-2723
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
052867-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 052867-1 NY Yes

Addresses

Primary practice location

2107 Spruce Street North Collins
North Collins, NY 14111

Mailing address

PO Box 458
2107 Spruce Street, North Collins
North Collins, NY 14111
Phone (716) 337-3706

Other identifiers

IdentifierTypeStateIssuer
052867-1OtherNYLMSW

Other providers in North Collins, NY

All providers in North Collins, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.