Active NPI
Thomas M Wilhelm, MSW
- Social Worker
- Bronx, NY
National Provider Identifier
1992890818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 069190
- Practice address
- 130 W Tremont Ave
Bronx, NY 10453-5436 - Phone
- (718) 583-9000
- Fax
- (718) 583-2835
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 069190 | NY | Primary |
Addresses
Primary practice location
130 W Tremont Ave
Bronx, NY 10453-5436
Mailing address
130 W Tremont Ave
Bronx, NY 10453-5436
Phone (718) 583-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069190 | Other | NY | LICENSE |
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 |
|---|---|---|---|
| 069190 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992890818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104535436",
"telephone_number": "718-583-9000",
"fax_number": "718-583-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104535436",
"telephone_number": "718-583-9000",
"fax_number": "718-583-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELM",
"first_name": "THOMAS",
"middle_name": "M",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "069190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "069190",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.