Nicole M Dewispelaere, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097521-01 Issued in NY

Practice address

270 Garford Rd
Rochester, NY 14622-2030

Phone

(315) 396-8015

NPI assigned

Nov 20, 2019

Last updated

Jun 16, 2024By the provider in NPPES

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1457997884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 GARFORD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222030",
            "telephone_number": "315-396-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 GARFORD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222030",
            "telephone_number": "315-396-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWISPELAERE",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097521-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Dewaters, RN
• Christal Chantell Dewberry
• Molly Clune Deweese
• Kayla Jeanne Dewey, M.D.
• Charlene Dewind, OTR/L
• David Dewolfe, MD
• Amanda Marie Orr Dexter, M.A.,CCC-SLP
• Katherine Dey
• Carol Deyaeger, R.N.
• Yvelande Dhaiti

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, 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 Jun 16, 2024; 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.