Individual provider Active NPI

Gerard Wichrowski, LCSW-R

  • Clinical Social Worker
  • Greenwich, NY
National Provider Identifier
1831282128
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
037572 Issued in NY
Practice address
1134 State Route 29
Greenwich, NY 12834-6107
Phone
(518) 692-9861
Fax
(518) 692-7947
NPI assigned
Oct 2, 2006
Last updated
Feb 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 037572 NY Primary

Addresses

Primary practice location

1134 State Route 29
Greenwich, NY 12834-6107

Mailing address

1134 State Route 29
Greenwich, NY 12834-6107
Phone (518) 692-9861

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Psychiatric and Associated Services PC Clinical Past 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1831282128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 STATE ROUTE 29",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128346107",
            "telephone_number": "518-692-9861",
            "fax_number": "518-692-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 STATE ROUTE 29",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128346107",
            "telephone_number": "518-692-9861",
            "fax_number": "518-692-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHROWSKI",
        "first_name": "GERARD",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.