Active NPI
Nancy Hill Wildrick, LCSW
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05644500
- Practice address
- 320 W 37TH St FL 5
New York, NY 10018-4252 - Phone
- (908) 681-4270
- NPI assigned
- Dec 28, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5475 | FL | |
| Specialist | 174400000X | MA 52361 | FL | |
| Massage Therapist | 225700000X | 18KT00779400 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05644500 | NJ | Primary |
Addresses
Primary practice location
320 W 37TH St FL 5
New York, NY 10018-4252
Mailing address
320 W 37TH St FL 5
New York, NY 10018-4252
Phone (908) 681-4270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ, PA, AZ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Optum Cir
Eden Prairie, MN 55344-2956
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5475 | FL | MD | Clinical Social Worker |
| 44SC05644500 | NJ | MD | Clinical Social Worker |
| MA 52361 | FL | MD | Specialist |
| 18KT00779400 | NJ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Clinical | Current | Accepting new patients |
| Central Florida Injury Southwest, Inc | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
Organizations & group practices 4
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.
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- Physical Medicine & Rehabilitation Physician
- Orlando, FL
- NPI 1780911925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1760712640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W 37TH ST FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100184252",
"telephone_number": "908-681-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 37TH ST FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100184252",
"telephone_number": "908-681-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDRICK",
"first_name": "NANCY",
"middle_name": "HILL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-28",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5475",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 52361",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT00779400",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05644500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.