Individual provider Active NPI

Alfred Wolfer Jr., L.C.S.W.

  • Clinical Social Worker
  • Clifton Park, NY
National Provider Identifier
1265506752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-32588 Issued in NY
Practice address
56 Clifton Country Rd
Ste. 206
Clifton Park, NY 12065-3838
Phone
(518) 371-7202
Fax
(518) 373-6686
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R-32588 NY Primary

Addresses

Primary practice location

56 Clifton Country Rd
Ste. 206
Clifton Park, NY 12065-3838

Mailing address

56 Clifton Country Rd
Ste. 206
Clifton Park, NY 12065-3838
Phone (518) 371-7202

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R-32588NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Medical Providers PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265506752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY RD",
            "address_2": "STE. 206",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653838",
            "telephone_number": "518-371-7202",
            "fax_number": "518-373-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLIFTON COUNTRY RD",
            "address_2": "STE. 206",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653838",
            "telephone_number": "518-371-7202",
            "fax_number": "518-373-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFER",
        "first_name": "ALFRED",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-32588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.