Individual provider Active NPI

Michelle Werdyger

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1457896326
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098746 Issued in NY
Practice address
1273 53Rd St
Brooklyn, NY 11219-3865
Phone
(212) 582-9100
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 098746 NY Primary

Addresses

Primary practice location

1273 53Rd St
Brooklyn, NY 11219-3865

Mailing address

1273 53Rd St
Brooklyn, NY 11219-3865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724001878 NY Practitioner - Clinical Social Worker 3375050487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Derech Shalom Center IncGroup PAC ID 5496114506, 10 clinicians

Practice addresses (Care Compare)

75 Montebello Rd
Suffern, NY 10901-3746
Phone (845) 523-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098746NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Derech Shalom Center Inc CurrentSince May 22, 2025 Accepting new patients

Locations

75 Montebello Rd
Suffern, NY 10901
Phone (845) 523-9300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1457896326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193865",
            "telephone_number": "212-582-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERDYGER",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.