Active NPI
Daniella Wieder, LMSW
- Clinical Social Worker
- Far Rockaway, NY
National Provider Identifier
1982932836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084861
- Practice address
- 156 Beach 9TH Street
Far Rockaway, NY 11691-5636 - Phone
- (347) 695-9700
- Fax
- (347) 695-9701
- NPI assigned
- Dec 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 084861 | NY | Primary |
Addresses
Primary practice location
156 Beach 9TH Street
Far Rockaway, NY 11691-5636
Mailing address
156 Beach 9TH St
Far Rockaway, NY 11691-5636
Phone (347) 695-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084861 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1982932836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 BEACH 9TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915636",
"telephone_number": "347-695-9700",
"fax_number": "347-695-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 BEACH 9TH STREET",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915636",
"telephone_number": "347-695-9700",
"fax_number": "347-695-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDER",
"first_name": "DANIELLA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.