Jamie Marie Wilson, LCSW, CASAC-T

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092616 Issued in NY

Practice address

6214 Riverdale Ave Ste 1a
Bronx, NY 10471-1032

Phone

(516) 286-9313

NPI assigned

Sep 2, 2021

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 names 1

• Ms. Jamie Marie Weckmann Former name

Electronic endpoints 2

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1629746771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 RIVERDALE AVE STE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711032",
            "telephone_number": "516-286-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 RIVERDALE AVE STE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711032",
            "telephone_number": "516-286-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC-T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jamie.wilson@vnsny.org",
            "affiliation": "N",
            "endpointDescription": "email messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6214 Riverdale Ave Ste 1A",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104711032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.wilson@vnsny.org",
            "affiliation": "N",
            "endpointDescription": "business email account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6214 Riverdale Ave Ste 1A",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104711032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WECKMANN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chriscellis P Wilson, BSN
• Clea Wilson, LCSW
• Dhwani Wilson, PT
• Edwina Gautam Wilson
• Evelyn Wilson, LMSW
• Jamila Wilson, RN
• Janifer P Wilson, P.A.
• Jasmine Jenivieve Wilson
• Jeremy Wilson, MD
• Joan Geraldene Wilson

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, 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 3, 2023; 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.