Active NPI
Wendy Fleming, LCSW
- Clinical Social Worker
- Ronkonkoma, NY
National Provider Identifier
1720034150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R015231
- Practice address
- 939 Johnson Ave
Ronkonkoma, NY 11779-6066 - Phone
- (631) 471-7242
- Fax
- (631) 738-0427
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R015231 | NY | Primary |
Addresses
Primary practice location
939 Johnson Ave
Ronkonkoma, NY 11779-6066
Mailing address
49 Charles Rd
East Patchogue, NY 11772-6227
Phone (631) 471-7242
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R015231 | NY | MD | Clinical Social Worker |
| 015231 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association for Mental Health and Wellness Inc | Past | Accepting new patients | |
| Family Service League, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/77c2b089-5ae8-473f-98a4-de9173e168aa/
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Ronkonkoma, NY
- NPI 1578516738
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720034150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 CHARLES RD",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117726227",
"telephone_number": "631-471-7242",
"fax_number": "631-738-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 JOHNSON AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117796066",
"telephone_number": "631-471-7242",
"fax_number": "631-738-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "WENDY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R015231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.