Active NPI
Wise Women of New York, LLC
- Clinical Social Worker
- Woodbury, NY
National Provider Identifier
1861990095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R030570
- Legal business name
- WISE WOMEN OF NEW YORK, LLC
- Practice address
- 7 Willow Pond Rd
Woodbury, NY 11797-2819 - Phone
- (516) 624-0512
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leslie R Shields, LCSW
- Title
- Principal
- Phone
- (516) 624-0512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R030570 | NY | Primary |
Addresses
Primary practice location
7 Willow Pond Rd
Woodbury, NY 11797-2819
Mailing address
7 Willow Pond Rd
Woodbury, NY 11797-2819
Phone (516) 624-0512
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Oyster Bay, NY
- NPI 1942530902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516665600000",
"number": "1861990095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WILLOW POND RD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972819",
"telephone_number": "516-624-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WILLOW POND RD",
"city": "WOODBURY",
"state": "NY",
"postal_code": "117972819",
"telephone_number": "516-624-0512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISE WOMEN OF NEW YORK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A",
"authorized_official_last_name": "SHIELDS",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "516-624-0512",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R030570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, NY
- James Gibson Wheeler Jr., PHD
- Joan Wheeler, MSW DSW
- White Oaks Rehabilitation and Nursing Center
- Alan Jeffrey Wilensky, D.M.D.
- Hilliary Winter, M.S. CCC-SLP
- Mikela Leigh Wolf, LMSW
- Women'S Health & Wellness of Long Island, PLLC
- Woobury Pediatric Dentistry and Orthodontics
- Woodbury Center for Health Care
- Christina Marie Wright, MS, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.