Active NPI
Maria Fernanda Wilber, LCSW
- Social Worker
- Ny, NY
National Provider Identifier
1245613876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 089836
- Practice address
- The Mount Sinai Hospital
One Gustave Levy Place
Ny, NY 10033-1003 - Phone
- (917) 288-9634
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 089836 | NY | Primary |
Addresses
Primary practice location
The Mount Sinai Hospital
One Gustave Levy Place
Ny, NY 10033-1003
Mailing address
1320 Riverside Dr Apt 1J
New York, NY 10033-1053
Phone (917) 288-9634
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241217003987 | NY | Order and Referring Only - Clinical Social Worker | 6608303482 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089836 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1245613876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 RIVERSIDE DR APT 1J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100331053",
"telephone_number": "917-288-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE MOUNT SINAI HOSPITAL",
"address_2": "ONE GUSTAVE LEVY PLACE",
"city": "NY",
"state": "NY",
"postal_code": "100331003",
"telephone_number": "917-288-9634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBER",
"first_name": "MARIA FERNANDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "089836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.