Individual provider Active NPI

Wendy S Kaiser, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1609944537
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027065-1 Issued in NY
Practice address
77 E 12TH St
Suite 16C
New York, NY 10003-5002
Phone
(212) 228-0323
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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 R027065-1 NY Primary

Addresses

Primary practice location

77 E 12TH St
Suite 16C
New York, NY 10003-5002

Mailing address

77 E 12TH St
Suite 16C
New York, NY 10003-5008
Phone (212) 228-0323

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
I20110315000388 NY Practitioner - Clinical Social Worker 7113109927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaiser and Kaiser, LCSW, P.C.Group PAC ID 6507048311, 2 clinicians

Practice addresses (Care Compare)

77 E 12TH St
16C
New York, NY 10003-5008
Phone (212) 228-0323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027065-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser & Kaiser, LCSW, P.C. Clinical CurrentSince Jan 3, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1609944537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E 12TH ST",
            "address_2": "SUITE 16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035008",
            "telephone_number": "212-228-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E 12TH ST",
            "address_2": "SUITE 16C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035002",
            "telephone_number": "212-228-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "WENDY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027065-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.