Individual provider Active NPI

Natalie Lisa Wisdom, LCSW

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1992833933
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080885 Issued in NY
Practice address
982 Dixwell Ave
Hamden, CT 06514-4909
Phone
(203) 361-6038
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 080885 NY Primary

Addresses

Primary practice location

982 Dixwell Ave
Hamden, CT 06514-4909

Mailing address

365 E 53Rd St
Brooklyn, NY 11203-4407
Phone (332) 210-9537

Other practice location 1

365 E 53rd St
Brooklyn, NY 11203-4407
Phone (332) 210-9537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121005000261 CT Practitioner - Clinical Social Worker 1850540980 Reassigns benefits to 1 organization
I20140428001521 NY Practitioner - Clinical Social Worker 1850540980 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008073CTMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Pieces of Wisdom LLC Clinical CurrentSince Jun 1, 2015 Accepting new patients
Pieces of Wisdom Psychotherapy LCSW Clinical CurrentSince Feb 1, 2026 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Jun 1, 2016 Accepting new patients
Divine Resilience Psychotherapy LLC Clinical CurrentSince Jan 15, 2026 Accepting new patients

Locations

982 Dixwell Ave
Hamden, CT 06514
Phone (203) 361-6038

1622 Central Ave
Far Rockaway, NY 11691
Phone (718) 327-9001

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Interoperability endpoints

  • Direct secure messaging: nataliewisdom@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1992833933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 E 53RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112034407",
            "telephone_number": "332-210-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144909",
            "telephone_number": "203-361-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 E 53rd St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112034407",
            "country_code": "US",
            "telephone_number": "332-210-9537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "NATALIE",
        "middle_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.