Individual provider Active NPI

Laura Ann Wysocki

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1922768373
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
091594 Issued in NY
Practice address
408 E 83Rd St Apt 1a
New York, NY 10028-5505
Phone
(646) 420-8600
NPI assigned
Dec 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 091594 NY Primary

Addresses

Primary practice location

408 E 83Rd St Apt 1a
New York, NY 10028-5505

Mailing address

408 E 83Rd St Apt 1a
New York, NY 10028-5505
Phone (646) 420-8600

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
I20220514000022 NY Practitioner - Clinical Social Worker 8022495993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2928 W 36TH St
FL 2
Brooklyn, NY 11224-1410
Phone (718) 372-3300

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Aug 8, 2023 Accepting new patients
Valera Medical, P.C. Clinical CurrentSince Jun 1, 2022 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Aug 8, 2023 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

2928 W 36th St
Fl 2
Brooklyn, NY 11224
Phone (347) 575-5360

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1922768373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 83RD ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285505",
            "telephone_number": "646-420-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 83RD ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285505",
            "telephone_number": "646-420-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOCKI",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.