MR. WESLEY DEMARIUS WILLIS


Address: 3016 31st St, 1st Floor, Astoria, NY 11102-2269
Phone: 3475020965

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY 03152545 05

Office Location

Street Address 3016 31ST ST
1ST FLOOR
City ASTORIA
State NY
Zip Code 11102-2269

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ASTORIA
Zip Code 11102

Improve Information

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Dataset Information

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.

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