Individual provider Active NPI

Winifred Y Wu, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1982183125
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089138 Issued in NY
Practice address
875 6TH Avenue
Suite 1603
New York, NY 10001
Phone
(212) 433-2384
NPI assigned
Aug 8, 2018
Reactivated
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089138 NY Primary
Clinical Social Worker 1041C0700X 095621-1 NY

Addresses

Primary practice location

875 6TH Avenue
Suite 1603
New York, NY 10001

Mailing address

875 6TH Avenue
Suite 1603
New York, NY 10001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 19, 2020 through Oct 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089138NYMDClinical Social Worker
095621-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City Psychotherapy PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1982183125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 6TH AVENUE",
            "address_2": "SUITE 1603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 6TH AVENUE",
            "address_2": "SUITE 1603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "212-433-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "WINIFRED",
        "middle_name": "Y",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "deactivation_date": "2020-07-03",
        "reactivation_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089138",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095621-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.