Sierra Ann Widule, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10099 Issued in WI

Practice address

827 Jefferson Ave Apt 3F
Brooklyn, NY 11221-6510

Phone

(920) 740-6894

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1821767682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 JEFFERSON AVE APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216510",
            "telephone_number": "920-740-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 JEFFERSON AVE APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112216510",
            "telephone_number": "920-740-6894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4524 N Marshall Heights Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549137172",
            "country_code": "US",
            "telephone_number": "920-740-6894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIDULE",
        "first_name": "SIERRA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "10099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "10099",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "098789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingrid Delaney Wickham, D.P.T.
• Sahan M. Wickramasinghe, MD
• Kamy Wicoff, LCSW
• Souphe Widdi
• Jana Widell, OD
• Pauline Sharon Wieand, L.C.S.W.
• Stella Wieckowski, RPH
• Rosemary Wieczorek, M.D.
• Brenda Wieder
• Chany Wieder

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, 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 Nov 8, 2024; 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.