Active NPI
Wanda O'Brien, LCSW
- Clinical Social Worker
- Schnecksville, PA
National Provider Identifier
1609165802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016891
- Practice address
- 4518 Ferrizzi Dr
Schnecksville, PA 18078-2239 - Phone
- (631) 767-7632
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW016891 | PA | Primary |
| Clinical Social Worker | 1041C0700X | 076060-1 | NY |
Addresses
Primary practice location
4518 Ferrizzi Dr
Schnecksville, PA 18078-2239
Mailing address
4518 Ferrizzi Dr
Schnecksville, PA 18078-2239
Phone (631) 767-7632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076060-1 | NY | MD | Clinical Social Worker |
| CW016891 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1609165802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4518 FERRIZZI DR",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "180782239",
"telephone_number": "631-767-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4518 FERRIZZI DR",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "180782239",
"telephone_number": "631-767-7632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "WANDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016891",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076060-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schnecksville, PA
- Medical Associates of the Lehigh Valley PC
- Medical Associates of the Lehigh Valley PC
- Michele Torbey Dr.
- Alice Namm, MA, CCC/SLP
- Northern Lehigh Ambulance Service, Inc.
- P.McCloskey Panfile
- Jeanine Paradis-Olenick, M.A., B.S.L.
- Michele Nicole Parkhill, PA-C
- Parkland Chiropractic Center
- Parkland Dental Center PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.