Active NPI
Linda A Wilk, LCSW
- Clinical Social Worker
- Dix Hills, NY
National Provider Identifier
1336303320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 075928-1
- Practice address
- 9 Willard Way
Dix Hills, NY 11746-7826 - Phone
- (631) 252-3588
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 075928-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 080522-1 | NY |
Addresses
Primary practice location
9 Willard Way
Dix Hills, NY 11746-7826
Mailing address
9 Willard Way
Dix Hills, NY 11746-7826
Phone (631) 252-3588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080522-1 | Other | NY | NYS OFFICE OF THE PROFESSIONS |
| 075928-1 | Other | NY | STATE LIC. |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130520000179 | NY | Practitioner - Clinical Social Worker | 7618114265 | Practice locations: Dix Hills, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Willard Way
Dix Hills, NY 11746-7826
Phone (631) 385-7867
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075928-1 | NY | MD | Clinical Social Worker |
| 080522-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1336303320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 WILLARD WAY",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467826",
"telephone_number": "631-252-3588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 WILLARD WAY",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467826",
"telephone_number": "631-252-3588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILK",
"first_name": "LINDA",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "075928-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080522-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF THE PROFESSIONS",
"identifier": "080522-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC.",
"identifier": "075928-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.