Mitchell J. Wood, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070042-1 Issued in NY

Practice address

156 5TH Ave Ste 823
New York, NY 10010-7764

Phone

(917) 734-9533

Fax

(718) 499-6767

NPI assigned

May 22, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356550719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 GARFIELD PL APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152180",
            "telephone_number": "917-734-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 5TH AVE STE 823",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107764",
            "telephone_number": "917-734-9533",
            "fax_number": "718-499-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MITCHELL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070042-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Wood, PHD
• Madeline Wood
• Marcia Ann Wood, LCSW
• Margaret Wood, M.D.
• Margaret Kate Wood, PSY.D.
• Moorea Wood
• Myles David Wood, MD
• Sabrina Wood, PA-C
• Sarah Whitney Wood, NP
• Sumintra Dillon Wood, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.