Active NPI
Norman Howard Wyloge, PH.D, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1841353182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P00815
- Practice address
- 52 E 76TH St
FL 3
New York, NY 10021-2755 - Phone
- (914) 659-3191
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P00815 | NY | Primary |
Addresses
Primary practice location
52 E 76TH St
FL 3
New York, NY 10021-2755
Mailing address
52 E 76TH St
FL 3
New York, NY 10021-2755
Phone (914) 659-3191
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120206000027 | NY | Practitioner - Clinical Social Worker | 1254598162 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1964
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
51 E 73Rd St
5C
New York, NY 10021-3569
Phone (914) 659-3191
52 E 76TH St
FL 3
New York, NY 10021-2755
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P00815 | NY | MD | Clinical Social Worker |
| 000815 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1841353182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 E 76TH ST",
"address_2": "FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212755",
"telephone_number": "914-659-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 E 76TH ST",
"address_2": "FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212755",
"telephone_number": "914-659-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLOGE",
"first_name": "NORMAN",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "PH.D, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P00815",
"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 Oct 3, 2016; 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.