Individual provider Active NPI

Wendy A Lauber, LCSWR

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1629316187
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
045634R Issued in NY
Practice address
255 Avenue W
Brooklyn, NY 11223-5202
Phone
(866) 569-7233
Fax
(718) 336-6815
NPI assigned
Jan 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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 045634R NY Primary

Addresses

Primary practice location

255 Avenue W
Brooklyn, NY 11223-5202

Mailing address

255 Avenue W
Brooklyn, NY 11223-5202
Phone (866) 569-7233

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045634RNYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1629316187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235202",
            "telephone_number": "866-569-7233",
            "fax_number": "718-336-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 AVENUE W",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235202",
            "telephone_number": "866-569-7233",
            "fax_number": "718-336-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBER",
        "first_name": "WENDY",
        "middle_name": "A",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "045634R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.