Individual provider Active NPI

Wayne Carrion, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1659466670
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R024173-1 Issued in NY
Practice address
333 Avenue X
Brooklyn, NY 11223-5947
Phone
(718) 339-5300
Fax
(718) 339-9082
NPI assigned
Oct 4, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 R024173-1 NY Primary

Addresses

Primary practice location

333 Avenue X
Brooklyn, NY 11223-5947

Mailing address

420 E 23Rd St
6C
New York, NY 10010-5033
Phone (212) 460-9344

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
I20070822000453 NY Practitioner - Clinical Social Worker 4284725664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Service Program for Older People IncGroup PAC ID 2668373135, 15 clinicians

Practice addresses (Care Compare)

302 W 91St St
New York, NY 10024-1011
Phone (212) 787-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R024173-1NYMDClinical Social Worker
024173NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Service Program for Older People, Inc CurrentSince Feb 4, 2018 Accepting new patients
Postgraduate Center for Mental Health PastSince Aug 1, 2025 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical Past Accepting new patients
Service Program for Older People PastSince Feb 4, 2018 Accepting new patients

Locations

188 W 88th St
New York, NY 10024
Phone 2127877120 ext. 139

302 W 91st St
New York, NY 10024
Phone 2127877120528

302 W 91st St
Apt 2
New York, NY 10024

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1659466670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 23RD ST",
            "address_2": "6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105033",
            "telephone_number": "212-460-9344",
            "fax_number": "212-260-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 AVENUE X",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235947",
            "telephone_number": "718-339-5300",
            "fax_number": "718-339-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRION",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R024173-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.