Individual provider Active NPI

Nancy L. Wohl, LCSW, MA, CGP

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1477528685
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R058061 Issued in NY
Practice address
11109 76TH Rd
Suite #E5
Forest Hills, NY 11375-6424
Phone
(718) 357-0707
Fax
(718) 357-4455
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R058061 NY Primary

Addresses

Primary practice location

11109 76TH Rd
Suite #E5
Forest Hills, NY 11375-6424

Mailing address

18311A 58TH Ave
Fresh Meadows, NY 11365-2208
Phone (718) 357-0707

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
I20050427000272 NY Practitioner - Clinical Social Worker 6002855343 Practice locations: Little Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4514 251St St
Suite 103
Little Neck, NY 11362-1327
Phone (917) 748-0905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R058061NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477528685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18311A 58TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652208",
            "telephone_number": "718-357-0707",
            "fax_number": "718-357-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 76TH RD",
            "address_2": "SUITE #E5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756424",
            "telephone_number": "718-357-0707",
            "fax_number": "718-357-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHL",
        "first_name": "NANCY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW, MA, CGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.