Wise Therapy LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISE THERAPY LCSW PC

Doing business as

Wise Therapy

Practice address

60 Plaza St E # BS-1
Brooklyn, NY 11238-5025

Phone

(917) 822-5045

NPI assigned

Nov 15, 2021

Last updated

Nov 15, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly Wise, LCSW-R,PHD,CST/CSTSNPI 1073800108

Title

Director

Phone

(917) 727-0522

Specialties & licenses 1

Addresses

Other names 1

• Wise Therapy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Jean Wise, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1073800108
  NPD Authorized official
• Maria Becker, LMSW

  • Social Worker
  • Brooklyn, NY
  • NPI 1588317630
  NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1447916390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PLAZA ST E APT 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385030",
            "telephone_number": "917-727-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PLAZA ST E # BS-1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385025",
            "telephone_number": "917-822-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE THERAPY LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-727-0522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-R,PHD,CST/CSTS"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wise Medical Ny PC
• Wise Medical Ny PC
• Wise Mind Mental Health Counseling, P.C.
• Wise Orthopedic Physical Therapy, PLLC
• Wise Physical Therapy P.C.
• Chaya Wise
• Erin Wise
• Gilbert Wise, MD
• Kelly Jean Wise, LCSW
• Menachem Boruch Wise, M.S.ED, BCBA

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 15, 2021; 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.