Organization Active NPI

Rhio Wellness LCSW, PLLC

  • Clinical Social Worker
  • Fresh Meadows, NY
National Provider Identifier
1477878122
Registry record updated Apr 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69956 Issued in NY
Legal business name
RHIO WELLNESS LCSW, PLLC
Practice address
5835 Utopia Pkwy
Suite 1-C
Fresh Meadows, NY 11365-1526
Phone
(718) 869-6993
Fax
(718) 559-6473
NPI assigned
Apr 6, 2010
Last updated
Apr 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2010

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

Authorized official

Name
Mr. Wesley Demarius Willis, LCSW
Title
Chief Executive Officer/President
Phone
(718) 357-7446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076729 NY
Clinical Social Worker 1041C0700X 69956 NY Primary

Addresses

Primary practice location

5835 Utopia Pkwy
Suite 1-C
Fresh Meadows, NY 11365-1526

Mailing address

5835 Utopia Pkwy
Suite 1-C
Fresh Meadows, NY 11365-1526
Phone (718) 357-7446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272153600000",
    "number": "1477878122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 UTOPIA PKWY",
            "address_2": "SUITE 1-C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651526",
            "telephone_number": "718-357-7446",
            "fax_number": "718-559-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 UTOPIA PKWY",
            "address_2": "SUITE 1-C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651526",
            "telephone_number": "718-869-6993",
            "fax_number": "718-559-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHIO WELLNESS LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-25",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "DEMARIUS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PRESIDENT",
        "authorized_official_telephone_number": "718-357-7446",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076729",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "69956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2010; 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.