Individual provider Active NPI

Denise M Akin, LCSW

  • Clinical Social Worker
  • Williamsville, NY
National Provider Identifier
1720013469
Registry record updated Mar 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R054294-1 Issued in NY
Practice address
2821 Wehrle Dr
Suite 8B
Williamsville, NY 14221-7386
Phone
(716) 308-3507
Fax
(716) 542-4551
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2017

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 R054294-1 NY Primary

Addresses

Primary practice location

2821 Wehrle Dr
Suite 8B
Williamsville, NY 14221-7386

Mailing address

2821 Wehrle Dr
Suite 8B
Williamsville, NY 14221-7386
Phone (716) 308-3507

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
I20050524000576 NY Practitioner - Clinical Social Worker 5496797169 Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 Wehrle Dr
Suite 8B
Williamsville, NY 14221-7386
Phone (716) 308-3507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R054294-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Nurse Practitioner Practice, PLLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1720013469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 WEHRLE DR",
            "address_2": "SUITE 8B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217386",
            "telephone_number": "716-308-3507",
            "fax_number": "716-542-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 WEHRLE DR",
            "address_2": "SUITE 8B",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217386",
            "telephone_number": "716-308-3507",
            "fax_number": "716-542-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKIN",
        "first_name": "DENISE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R054294-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.