Paul J Wingard Jr., LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R069685 Issued in NY

Practice address

147 W Gray St
Suite 214
Elmira, NY 14901-3017

Phone

(607) 331-1228

Fax

(607) 737-6884

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263686400000",
    "number": "1225186356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W 3RD ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012435",
            "telephone_number": "607-331-1228",
            "fax_number": "607-737-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W GRAY ST",
            "address_2": "SUITE 214",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013017",
            "telephone_number": "607-331-1228",
            "fax_number": "607-737-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02763922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Wilson
• Kaylie J Wilson, OTR
• Melissa Grace Wilson
• Tina A. Wilston, PTA
• Howard E Winer, M.D.
• Kaitlyn Ann Winkleblack, SLP
• Jennifer Lynne Wisneski
• Molly Witham, DO
• Charlotte Nwerenda Wodi, MSW
• Pamela Pappert Wolcott, RN

• Clinical Social Worker in Elmira, NY
• Providers in Elmira, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.