Andrea Weisse

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

408 Main St
Center Moriches, NY 11934-3518

Phone

(631) 396-1800

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1679942114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119670706",
            "telephone_number": "631-395-1800",
            "fax_number": "631-399-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343518",
            "telephone_number": "631-396-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSE",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia E Voelpel, ANP
• Melissa Vogt, LCSW
• Waldbaum Inc
• Susan Diana Walker, M.D.
• Wayne M. Gurnick Ms, LCSW P.C.
• Patrice Westenberger, NP
• Mikayla Weybrecht
• Jane S. Whitaker, DC
• John F. Whitaker Jr., D.C.,L.AC.
• Jean Marie Williams, LPN

• Clinical Social Worker in Center Moriches, NY
• Providers in Center Moriches, 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 Jan 27, 2020; 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.