Thomas Wildenger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R033873-1 Issued in NY

Practice address

2626 Genesee St
Utica, NY 13502-6003

Phone

(315) 724-5344

Fax

(315) 724-3148

NPI assigned

Jul 26, 2006

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Lynn Tomaino CSW & Associates

  • Mental Health Counselor
  • Utica, NY
  • NPI 1366489809
  NPD (past)
• Maria Horan LCSW PC

  • Clinical Social Worker
  • Utica, NY
  • NPI 1710135439
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922022003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026003",
            "telephone_number": "315-724-5344",
            "fax_number": "315-724-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026003",
            "telephone_number": "315-724-5344",
            "fax_number": "315-724-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDENGER",
        "first_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033873-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whiteboard LLC
• Virginia Whitford, LMSW
• Jonathan David Wigderson, DO
• Candace G Wilbur
• Marsha L Wilcox, CASAC II
• Michael John Wilkosz, PT
• William a Graber MD PC
• Carolyn T. Williams, M.S.ED
• Denise M Williams, RN
• Domqenique L Williams, PCA HHA

• Clinical Social Worker in Utica, NY
• Providers in Utica, 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 Jul 8, 2007; 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.