Philip Wiener, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001436 Issued in CT

Practice address

7 Kenosia Ave
Danbury, CT 06810-7395

Phone

(203) 546-3414

Fax

(203) 546-3455

NPI assigned

Feb 9, 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 CT2 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

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sterling Institute for Neuropsychiatry and Behavioral MedGroup PAC ID 4082998059, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sterling Institute for Neuropsychiatry and Behavioral Med

  • Psychiatry Physician
  • Danbury, CT
  • NPI 1992259683

  Clinical

  Medicare reassignment Care Compare group NPD
• Dba Summit Psychotherapy Services

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1386372423
  NPD (past) Authorized official
• Northwest Center for Family Service and Mental Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lakeville, CT
  • NPI 1295773844
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1336280593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107395",
            "telephone_number": "475-329-2686",
            "fax_number": "203-456-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107395",
            "telephone_number": "203-546-3414",
            "fax_number": "203-546-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Richmond Ln",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061171628",
            "country_code": "US",
            "telephone_number": "860-798-8558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIENER",
        "first_name": "PHILIP",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J White, DC
• Tamantha White, APRN, FNP-BC
• Wholelistic Self, LLC
• Theresa Wiblishauser, LCSW
• Beata Wielgoszewski
• Lindsey Wilburn, MD
• Barbara Wille Walsh, LCSW, CCM
• Diana Lynn Williams, COTA
• Joseph H Williams Jr., M.D.
• Martin H Williams, MD

• Clinical Social Worker in Danbury, CT
• Providers in Danbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.