Janice Wise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0256351 Issued in NY

Practice address

98 Barnyard Lane
Roslyn HTS, NY 11577

Phone

(516) 484-4835

Fax

(516) 484-4835

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629188420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BARNYARD LANE",
            "city": "ROSLYN HTS",
            "state": "NY",
            "postal_code": "11577",
            "telephone_number": "516-484-4835",
            "fax_number": "516-484-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BARNYARD LANE",
            "city": "ROSLYN HTS",
            "state": "NY",
            "postal_code": "11577",
            "telephone_number": "516-484-4835",
            "fax_number": "516-484-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JANICE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0256351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH OXFORD BEH",
            "identifier": "P2527542",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niaz Nassiri
• Ankita A Patel
• Christine K Radziewicz, D.A.CCCSLP
• Rapid Response Diagnostics LLC
• Eric Seth Slone, M.D.

• Clinical Social Worker in Roslyn HTS, NY
• Providers in Roslyn HTS, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.