Active NPI
Lorilyn A Wilson, LCSW
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1720208978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 048395
- Practice address
- 497 Beahan Rd
Rochester, NY 14624-3403 - Phone
- (585) 746-1500
- Fax
- (585) 278-1196
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 048395 | NY | Primary |
Addresses
Primary practice location
497 Beahan Rd
Rochester, NY 14624-3403
Mailing address
497 Beahan Rd
Rochester, NY 14624-3403
Phone (585) 746-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11334655 | Other | CAQH |
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 |
|---|---|---|---|
| 048395 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1720208978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 BEAHAN RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243403",
"telephone_number": "585-746-1500",
"fax_number": "585-278-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 BEAHAN RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243403",
"telephone_number": "585-746-1500",
"fax_number": "585-278-1196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LORILYN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "048395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11334655",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.