Sandra Kay Wiley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014663 Issued in PA

Practice address

30 S Valley Rd
211
Paoli, PA 19301-1450

Phone

(484) 207-0303

NPI assigned

Jul 28, 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 PA

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restoration and Wellness LLCGroup PAC ID 7618353426, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restoration and Wellness LLC

  • Adult Mental Health Clinic/Center
  • Fort Washington, PA
  • NPI 1770172033
  Medicare reassignment Care Compare group NPD
• Psychology & Counseling Associates, PC

  • Clinical Psychologist
  • Pottstown, PA
  • NPI 1750303368
  Medicare reassignment NPD
• Ramesh B Eluri MD PC

  • Psychiatry Physician
  • Royersford, PA
  • NPI 1871610956
  Medicare reassignment NPD
• Fellowship Health Resources, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, RI
  • NPI 1245239680

  PA

  Medicare reassignment NPD
• Ultracare Anesthesia Partners LLC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1407236110
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1912911306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S HENDERSON RD",
            "address_2": "D607",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063529",
            "telephone_number": "484-207-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S VALLEY RD",
            "address_2": "211",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011450",
            "telephone_number": "484-207-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50033229",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Breeden Wiggs
• Alison S Wilbur, BCBA
• Lynn Wilby, MED
• Wilder Physical Therapy, LLC
• Wiley Ventures Inc
• James Stuart Wilkes, DMD
• Leola Wilkins, MED
• Renee S Wilkins, P.A.-C.
• William Greer, M.D., P.C.
• Gregory Stuart Williams, MD

• Clinical Social Worker in Paoli, PA
• Providers in Paoli, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.