NPIMap

Organization Active NPI

Wediko Children'S Services

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1962741553
Registry record updated Feb 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078168 Issued in NY
Legal business name
WEDIKO CHILDREN'S SERVICES
Practice address
200 Bloomingdale Rd
Second Floor
White Plains, NY 10605-1514
Phone
(646) 481-0184
NPI assigned
Feb 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Renshaw, LCSW
Title
Co-Director
Phone
(646) 481-0184

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 078168 NY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 079144 NY

Addresses

Primary practice location

200 Bloomingdale Rd
Second Floor
White Plains, NY 10605-1514

Mailing address

421 W 145TH St
New York, NY 10031-5203

National Provider Directory

National Provider Directory
Tax ID family
Wediko Children'S Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Bloomingdale Rd
Fl 2
White Plains, NY 10605
Phone (646) 481-0184

NPI Registry JSON

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359849600000",
    "number": "1962741553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 145TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOOMINGDALE RD",
            "address_2": "SECOND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051514",
            "telephone_number": "646-481-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDIKO CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A",
        "authorized_official_last_name": "RENSHAW",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "646-481-0184",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078168",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; 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.