Active NPI
Michele Ann Wheeler, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1457559312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 070295-1
- Practice address
- 24 E 12TH St
Suite 502
New York, NY 10003-4403 - Phone
- (917) 683-3643
- NPI assigned
- Jul 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 070295-1 | NY | Primary |
Addresses
Primary practice location
24 E 12TH St
Suite 502
New York, NY 10003-4403
Mailing address
147 Bancroft Ave
Staten Island, NY 10306-3201
Phone (917) 683-3643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070295-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457559312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 BANCROFT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063201",
"telephone_number": "917-683-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 E 12TH ST",
"address_2": "SUITE 502",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034403",
"telephone_number": "917-683-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "MICHELE",
"middle_name": "ANN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "070295-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- 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.