Wahienhawi Hall, LCSW
Individual provider Active NPI Clinical Social Worker · Hogansburg, NY
NPI 1346500345 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1346500345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 088275-1 (NY)
- Practice address
- 404 State Route 37
Hogansburg, NY 13655 - Phone
- (518) 358-3141
- Fax
- (518) 358-9175
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088275-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delconte Counseling LCSW PC | Past |
Accepting new patients | |
| Bright Path Center, Inc. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088275-1 | NY | Yes |
Addresses
Primary practice location
404 State Route 37
Hogansburg, NY 13655
Mailing address
404 State Route 37
Hogansburg, NY 13655
Phone (518) 358-3141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06039436 | Medicaid | NY |
Other providers in Hogansburg, NY
- Gracyn E. Denny
- Wendy L Frank
- Amanda M Gardner
- Sloan Gleason
- Michael Thomas Guldan
- Jesalyn Marie Hayes
- Katherine R Henderson
- Mary M Herne
- Hillary Pyke
- Louise D Ingle
All providers in Hogansburg, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.