Individual provider Active NPI

Michelle Olandese, LCSWR

  • Clinical Social Worker
  • Williamsville, NY
National Provider Identifier
1912334285
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R058577-1 Issued in NY
Practice address
2813 Wehrle Dr
Suite 7
Williamsville, NY 14221-7384
Phone
(716) 566-0920
Fax
(716) 633-1280
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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 R058577-1 NY Primary

Addresses

Primary practice location

2813 Wehrle Dr
Suite 7
Williamsville, NY 14221-7384

Mailing address

2813 Wehrle Dr
Suite 7
Williamsville, NY 14221-7384
Phone (716) 566-0920

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117001678 NY Order and Referring Only - Clinical Social Worker 3971869322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R058577-1NYMDClinical Social Worker
058577NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1912334285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 WEHRLE DR",
            "address_2": "SUITE 7",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217384",
            "telephone_number": "716-566-0920",
            "fax_number": "716-633-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 WEHRLE DR",
            "address_2": "SUITE 7",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217384",
            "telephone_number": "716-566-0920",
            "fax_number": "716-633-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLANDESE",
        "first_name": "MICHELLE",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058577-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.