Individual provider Active NPI

Lucia Cavaiuolo Wronski, LCSW-R

  • Clinical Social Worker
  • Lockport, NY
National Provider Identifier
1306891353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074274-R Issued in NY
Practice address
5626 Keck Rd
Lockport, NY 14094-9307
Phone
(716) 471-9874
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

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 074274-R NY Primary

Addresses

Primary practice location

5626 Keck Rd
Lockport, NY 14094-9307

Mailing address

5626 Keck Rd
Lockport, NY 14094-9307
Phone (716) 471-9874

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000344 NY Practitioner - Clinical Social Worker 0446259386 Practice locations: Lockport, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Buffalo School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 Bewley Building
Lockport, NY 14094-2944
Phone (716) 471-9874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074274-RNYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306891353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 KECK RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949307",
            "telephone_number": "716-471-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 KECK RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949307",
            "telephone_number": "716-471-9874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRONSKI",
        "first_name": "LUCIA",
        "middle_name": "CAVAIUOLO",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074274-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.