MR. WESLEY DEMARIUS WILLIS (NPI# 1629299664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629299664 |
Entity Type | Individual |
Full Name | MR. WESLEY DEMARIUS WILLIS |
Credential | LCSW-R, BCD, RN |
Practice Address |
3016 31st St 1st Floor Astoria NY 11102-2269 |
Practice Telephone | 3475020965 |
Practice Fax Number | 7185596473 |
Mailing Telephone | 3475020965 |
Mailing Fax Number | 7185596473 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2011-11-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
076729 | NY | Behavioral Health & Social Service Providers |
N | 163W00000X | Registered Nurse | 650621 | NY | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 03152545 | 05 |
Street Address |
3016 31ST ST 1ST FLOOR |
City | ASTORIA |
State | NY |
Zip Code | 11102-2269 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710068192 | Sharon De Jesus | Registered Nurse | 3016 31st St, Astoria, NY 11102-1866 | 2006-10-18 |
1851936140 | James Pette | Counselor | 3016 31st St, Astoria, NY 11102-2269 | 2019-11-11 |
1396220869 | In Session Mental Health Counseling | Counselor | 3016 31st St, Astoria, NY 11102-2269 | 2018-09-30 |
1780011676 | New York Consultation Medical | Psychiatry & Neurology | 3016 31st St, Astoria, NY 11102-2269 | 2013-10-09 |
1669758322 | Michael Jeffrey Kim | Psychoanalyst | 3016 31st St, Astoria, NY 11102-2269 | 2011-10-26 |
1497031264 | Narcisa Elena Craciun | Counselor | 3016 31st St, Astoria, NY 11102-2269 | 2011-10-25 |
1538398052 | Sharon De Jesus, Np In Psychiatry, Bc, Pllc | Community/Behavioral Health | 3016 31st St, Astoria, NY 11102-1866 | 2009-07-06 |
1003011057 | Namgyal D Bhutia | Psychiatry & Neurology | 3016 31st St, 1c, Astoria, NY 11102-2269 | 2007-06-19 |
1285845255 | Nader Galal | Psychiatry & Neurology | 3016 31st St, Astoria, NY 11102-2269 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
Find all providers in zip 11102 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454093 | Angela Schedler | Social Worker | 3264 41st St Apt 1e, Astoria, NY 11103-3547 | 2020-10-15 |
1538786785 | Rachel Schimmel | Social Worker | 2515 18th St Apt 2, Astoria, NY 11102-3553 | 2020-07-02 |
1992324339 | Andrew Titus | Social Worker | 421 Astoria Blvd, Astoria, NY 11102-4314 | 2020-04-15 |
1407325038 | Courtney Rodgers | Social Worker | 4104 Astoria Blvd Apt 3f, Astoria, NY 11103-3253 | 2018-11-13 |
1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
1487164265 | Ceraselia Hotar, Lcsw PC | Social Worker | 3708 28th Ave Ste 202, Astoria, NY 11103-4248 | 2017-10-05 |
1881119139 | Maria Meyer | Social Worker | 3009 35th St, Astoria, NY 11103-4701 | 2017-08-08 |
1528504180 | Avinashi Shivon Ramadhin | Social Worker | 2227 26th St, Astoria, NY 11105-3151 | 2017-01-06 |
1407391790 | Matthew Frey | Social Worker | 2203 Steinway St, Apt 2l, Astoria, NY 11105-1863 | 2016-12-22 |
1417491242 | L.j Klein Lcsw PC | Social Worker | 3051 36th St Fl 1, Astoria, NY 11103-4704 | 2016-12-13 |
Find all providers in ASTORIA |
Please comment or provide details below to improve the information on MR. WESLEY DEMARIUS WILLIS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.