Active NPI
Wendy Chabon, LCSW
- Clinical Social Worker
- Ossining, NY
National Provider Identifier
1477580454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R20583
- Practice address
- 100 Executive Blvd
Suite 203
Ossining, NY 10572 - Phone
- (914) 536-3232
- Fax
- (914) 788-1511
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R20583 | NY | Primary |
Addresses
Primary practice location
100 Executive Blvd
Suite 203
Ossining, NY 10572
Mailing address
64 Roma Orchard Rd
Peekskill, NY 10566-4870
Phone (914) 788-1222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 21, 2022 through Nov 21, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R20583 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1477580454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 ROMA ORCHARD RD",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105664870",
"telephone_number": "914-788-1222",
"fax_number": "914-788-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EXECUTIVE BLVD",
"address_2": "SUITE 203",
"city": "OSSINING",
"state": "NY",
"postal_code": "10572",
"telephone_number": "914-536-3232",
"fax_number": "914-788-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHABON",
"first_name": "WENDY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R20583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ossining, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.