Individual provider Active NPI

Caroline Wasterlain, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1972169290
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097816 Issued in NY
Practice address
175 W 72ND St
New York, NY 10023-3203
Phone
(347) 330-8652
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 097816 NY Primary

Addresses

Primary practice location

175 W 72ND St
New York, NY 10023-3203

Mailing address

175 W 72ND St
New York, NY 10023-3203

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
I20250226001155 NY Practitioner - Clinical Social Worker 8022538693 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088867NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Therapeutic Support LCSW PC Clinical CurrentSince Dec 23, 2024 Accepting new patients
Well Behavioral Health LLC CurrentSince Apr 15, 2026 Accepting new patients

Locations

57 W 57th St
Ste 1004
New York, NY 10019
Phone (212) 765-5030

459 Columbus Ave
New York, NY 10024
Phone (212) 884-6282

Organizations & group practices 2

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1972169290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100233203",
            "telephone_number": "347-330-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASTERLAIN",
        "first_name": "CAROLINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.