Kathleen Anne Wilk-Van Essendelft, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R040232 Issued in NY

Practice address

595 Route 25a Ste 20
Miller Place, NY 11764-2647

Phone

(631) 744-5500

Fax

(631) 744-5677

NPI assigned

Jan 29, 2007

Last updated

Jan 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Care Counseling Services, LCSW,P.C.

  • Clinical Social Worker
  • Miller Place, NY
  • NPI 1467578575
  Medicare reassignment NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1821134578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A STE 20",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642647",
            "telephone_number": "631-744-5500",
            "fax_number": "631-744-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ROUTE 25A STE 20",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642647",
            "telephone_number": "631-744-5500",
            "fax_number": "631-744-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILK-VAN ESSENDELFT",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Kyoung Wang
• Mark David Wasserman, MD
• David M Weber, LCSW
• Mark P Wejchert
• West Meadow Massage Therapy PC
• Carin D. Winter, LCSW
• Christina Wirski, REGISTERED NURSE
• Stephanie Nicole Woltering, CRNA
• Lawrence K Wong, PHARMD
• Megan Wood, LMHC

• Clinical Social Worker in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.

Verify at the official NPI Registry.