Wilda Morency, MS.ED

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

3511862 Issued in NY

Practice address

670 Parkside Avenue
Brooklyn, NY 11226

Phone

(718) 675-1249

NPI assigned

Mar 10, 2014

Sex

Female

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1366868788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 CLARENDON RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035135",
            "telephone_number": "718-629-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PARKSIDE AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-675-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENCY",
        "first_name": "WILDA",
        "credential": "MS.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "3511862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C. Melissa Morelli-Walsh, CNM, IBCLC
• Bianca Claire Morello, PA-C
• Joseph Paul Morello I
• Marissa Joan Morello
• Katherine Morena, MHC-LP
• Erika Moreno Pareja
• Octavio Moreno-Lomeli
• Gloria Ivonne Moreno-Rodriguez, LCSW
• Alex Avelino Moreno
• Andrea Alexandra Moreno

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.