Stephanie Wilson, LCSWR

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R020324 Issued in NY

Practice address

3517 E Tremont Ave Ste 210
Bronx, NY 10465-2002

Phone

(646) 685-7908

Fax

(718) 792-2496

NPI assigned

Nov 1, 2006

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

Other identifiers 1

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

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1891872818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652002",
            "telephone_number": "718-792-4178",
            "fax_number": "718-792-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 E TREMONT AVE STE 210",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652002",
            "telephone_number": "646-685-7908",
            "fax_number": "718-792-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Glenn St Ste 205",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106033252",
            "country_code": "US",
            "telephone_number": "646-685-7908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R020324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "374934",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca N Wilson, BSN, RN
• Rushanda Wilson
• Sara Wilson
• Sharmaine Wilson
• Stacy Wilson
• Tele Corinne Wilson, LCSW
• Teresa Ann Wilson, CPNP
• Tshura Shantana Wilson, MS, FNP-BC
• Mauricio Wiltz, D.D.S.
• Genesis Kiana Wimmer, RN

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.