Active NPI
Connie L Wheeler, LMSW
- School Social Worker
- Geneva, NY
National Provider Identifier
1316723158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 117391-01
- Practice address
- 400 W North St
Geneva, NY 14456-1314 - Phone
- (315) 781-0489
- Fax
- (315) 781-4195
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 117391-01 | NY | Primary |
Addresses
Primary practice location
400 W North St
Geneva, NY 14456-1314
Mailing address
185 Perrine Ave
Auburn, NY 13021-1714
Phone (315) 664-0911
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117391-01 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1316723158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PERRINE AVE",
"city": "AUBURN",
"state": "NY",
"postal_code": "130211714",
"telephone_number": "315-664-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W NORTH ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144561314",
"telephone_number": "315-781-0489",
"fax_number": "315-781-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "CONNIE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "117391-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, NY
- Wellnow Urgent Care, PC (WellNow Urgent Care)
- West Lake Psychological Services, PLLC
- Western New York Medical Practice P.C (WNY, Finger Lakes Bone & Joint)
- Western New York Medical Practice P.C. (WNY Finger Lakes Community Eye Care)
- Western New York Medical Practice, P.C.
- Jonalle M Wheeler, RN
- Michael David White, M.D.
- Marsha Whitley, LCSW
- Preston A. Wigfall, M.D.
- Patricia Ann Wiggins, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.