Alice Maria Wheatley-Street, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO25610-1 Issued in NY

Practice address

7 W Burnside Ave
3Rd Floor
Bronx, NY 10453-4003

Phone

(718) 561-4340

Fax

(718) 220-1938

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1245304591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679304",
            "telephone_number": "718-882-5000",
            "fax_number": "718-798-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W BURNSIDE AVE",
            "address_2": "3RD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534003",
            "telephone_number": "718-561-4340",
            "fax_number": "718-220-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY-STREET",
        "first_name": "ALICE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PO25610-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Wezenter, M.D.
• Tkeyah Ebony Whaley
• Eugene J Whang, MD
• Denise Wharton, CNM
• Joanne Christine Wharton
• Benjamin Joseph Wheeler, O.D.
• Candace Wheeler
• Rose Sparkle Wheeler, ADVANCED CASAC
• Alison Margaret Whelan, FNP-C
• Olamide Whenu

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 Oct 7, 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.