Individual provider Active NPI

Maryellen C. Eng-Wong, LCSW

  • Social Worker
  • Cold Spring, NY
National Provider Identifier
1750660957
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
073355-1 Issued in NY
Practice address
6 Marion Ave.
Cold Spring Healing Arts
Cold Spring, NY 10516-3904
Phone
(914) 522-9044
NPI assigned
Aug 5, 2011
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 073355-1 NY Primary

Addresses

Primary practice location

6 Marion Ave.
Cold Spring Healing Arts
Cold Spring, NY 10516-3904

Mailing address

68 Perks Blvd
Cold Spring, NY 10516-3904
Phone (914) 522-9044

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

LicenseStateTypeSpecialty
073355-1NYMDSocial Worker
073355NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Head in the Right Direction Counseling Services LCSW PC PastSince May 7, 2018 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, 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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1750660957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 PERKS BLVD",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105163904",
            "telephone_number": "914-522-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MARION AVE.",
            "address_2": "COLD SPRING HEALING ARTS",
            "city": "COLD SPRING",
            "state": "NY",
            "postal_code": "105163904",
            "telephone_number": "914-522-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG-WONG",
        "first_name": "MARYELLEN",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073355-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.