Crystal Monica Wischhusen, LMSW-R

Primary specialty

Social WorkerTaxonomy code 104100000X

License

72 088114 Issued in NY

Practice address

196 Belleview Ave
Center Moriches, NY 11934-3729

Phone

(631) 503-1728

NPI assigned

May 29, 2014

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

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Counseling & LCSW Services PC

  • Clinical Social Worker
  • Center Moriches, NY
  • NPI 1770819690
  Medicare reassignment NPD
• Qureshi Medical Services PLLC

  • Psychiatry Physician
  • Center Moriches, NY
  • NPI 1316763162
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1245642925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BELLEVIEW AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343729",
            "telephone_number": "631-294-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BELLEVIEW AVE",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343729",
            "telephone_number": "631-503-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 MAIN ST SOUTH",
            "address_purpose": "LOCATION",
            "city": "Center MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "country_code": "US",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-3558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISCHHUSEN",
        "first_name": "CRYSTAL",
        "middle_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "LMSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72 088114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Westenberger, NP
• Mikayla Weybrecht
• Jane S. Whitaker, DC
• John F. Whitaker Jr., D.C.,L.AC.
• Jean Marie Williams, LPN
• William James Wischhusen, LMHC
• Christina Angela Zaccara, NURSE PRACTITIONER
• Jennifer Zvanovec

• Social Worker in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.