David Wyner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R018824-1 Issued in NY

Practice address

3103 Fairfield Ave
Bronx, NY 10463-3242

Phone

(718) 884-9574

Fax

(718) 796-5900

NPI assigned

May 28, 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

Medicare fee-for-service enrollment

Enrolled in NY, DC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

New York University School of Medicine, 1976

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": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275744401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 FAIRFIELD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633242",
            "telephone_number": "718-884-9574",
            "fax_number": "718-796-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 FAIRFIELD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633242",
            "telephone_number": "718-884-9574",
            "fax_number": "718-796-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNER",
        "first_name": "DAVID",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R018824-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuwei Wu
• Zhentao Wu, L. AC
• Selene Wun, DDS
• Robert Wunderman
• Jill Wurzburg, FNP-BC
• Bonaro Wynn, PT
• Clare Wynne, MD
• Joshua Wynne, MD
• Bridgette Wynter, LCSW
• Caurice Victoria Wynter, MD

• 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 Jul 8, 2007; 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.