Individual provider Active NPI

Helene Bass-Wichelhaus, PHD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1316067374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R011815 Issued in NY
Practice address
108 E 86TH St
1SW
New York, NY 10028-1024
Phone
(212) 996-0050
NPI assigned
Mar 30, 2007
Sex
Female
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 R011815 NY Primary

Addresses

Primary practice location

108 E 86TH St
1SW
New York, NY 10028-1024

Mailing address

108 East 86 Street
1SW
New York, NY 10028-1024
Phone (212) 996-0050

Other identifiers 1

IdentifierTypeStateIssuer
P3192823OtherNYOXFORD

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
I20101028000272 NY Practitioner - Clinical Social Worker 7618161266 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 E End Ave
Apt 10E
New York, NY 10075-1145

108 E 86TH St
New York, NY 10028-1024
Phone (212) 996-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R011815NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elena L. Jones MD 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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316067374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EAST 86 STREET",
            "address_2": "1SW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281024",
            "telephone_number": "212-996-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 86TH ST",
            "address_2": "1SW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281024",
            "telephone_number": "212-996-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS-WICHELHAUS",
        "first_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R011815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3192823",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.