Active NPI
Carol Deann Wilson, MSW, LCSW
- Clinical Social Worker
- West Brentwood, NY
National Provider Identifier
1518396738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084576-1
- Practice address
- 998 Crooked Hill Rd BLDG 82
West Brentwood, NY 11717-1019 - Phone
- (631) 761-2522
- NPI assigned
- Nov 7, 2013
- 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 | 084576-1 | NY | Primary |
Addresses
Primary practice location
998 Crooked Hill Rd BLDG 82
West Brentwood, NY 11717-1019
Mailing address
33 Beverly CT
Fort Salonga, NY 11768-1426
Phone (516) 242-1490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084576-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1518396738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BEVERLY CT",
"city": "FORT SALONGA",
"state": "NY",
"postal_code": "117681426",
"telephone_number": "516-242-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "998 CROOKED HILL RD BLDG 82",
"city": "WEST BRENTWOOD",
"state": "NY",
"postal_code": "117171019",
"telephone_number": "631-761-2522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CAROL",
"middle_name": "DEANN",
"name_prefix": "Ms.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084576-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.