Martine Wisotsky, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092472 Issued in NY

Practice address

1216 Broadway FL 2
New York, NY 10001-4482

Phone

(716) 562-8312

NPI assigned

Dec 17, 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

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1902566953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014482",
            "telephone_number": "716-562-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISOTSKY",
        "first_name": "MARTINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Keller Wisnoski, LAC
• Nicholas Charles Wisnoski, M.D.
• Jeffrey H. Wisoff, M.D.
• Jessica Wisotsky
• Karen Joy Wisotsky, M.S.E.D.
• Rachel Judith Wiss, MSW
• Dane T Wissing, PA-C
• Matilda Wissner, M.S.
• Elizabeth Wist, PA
• Birte Wistinghausen, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Dec 17, 2021; 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.