Individual provider Active NPI

Andrea B Wainer, LCSW-R

  • Social Worker
  • Greenwich, CT
National Provider Identifier
1649778556
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R047492-1 Issued in NY
Practice address
29 Division St W Ste 4
Greenwich, CT 06830-6806
Phone
(914) 565-3727
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R047492-1 NY Primary

Addresses

Primary practice location

29 Division St W Ste 4
Greenwich, CT 06830-6806

Mailing address

29 Division St W Ste 4
Greenwich, CT 06830-6806
Phone (914) 727-9428

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

LicenseStateTypeSpecialty
R047492-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1649778556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DIVISION ST W STE 4",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306806",
            "telephone_number": "914-727-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 DIVISION ST W STE 4",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306806",
            "telephone_number": "914-565-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINER",
        "first_name": "ANDREA",
        "middle_name": "B",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R047492-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.