Individual provider Active NPI

Scott Jeffrey Andrews-Weckerly, MSW

  • Social Worker
  • Jamaica, NY
National Provider Identifier
1457696643
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
088147 Issued in NY
Practice address
16221 Jamaica Ave
Sixth Floor
Jamaica, NY 11432-4909
Phone
(718) 896-2500
NPI assigned
Nov 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 088147 NY Primary

Addresses

Primary practice location

16221 Jamaica Ave
Sixth Floor
Jamaica, NY 11432-4909

Mailing address

162-21 Jamaica Ave.
Sixth Floor
Jamaica, NY 11432
Phone (718) 896-2500

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

LicenseStateTypeSpecialty
088147NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1457696643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162-21 JAMAICA AVE.",
            "address_2": "SIXTH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-896-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16221 JAMAICA AVE",
            "address_2": "SIXTH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324909",
            "telephone_number": "718-896-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS-WECKERLY",
        "first_name": "SCOTT",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.