MISS JODY NIKIA WONG LCSW
NPI 1083365035
Social Worker - Clinical in Shirley, NY

Q: What is Jody Wong's NPI number?

The NPI number for Jody Wong is 1083365035. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Jody Wong's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jody Wong was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2022PECOS EnrolledAccepts Medicare Assignment

550 MONTAUK HWY, SHIRLEY, NY 11967(347) 622-3922 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 31, 2026, Jan 11, 2022 (2 updates tracked since 2022).

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About Miss Jody Nikia Wong Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JODY NIKIA WONG LCSW (NPI 1083365035) is an individual clinical provider in Shirley, New York, licensed in New York (102422) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083365035

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISS JODY NIKIA WONGCredential: LCSW

Location Address550 MONTAUK HWYShirley, NY 11967-2114

Mailing Address550 Montauk HwyShirley, NY 11967-2114 · (347) 622-3922

Phone(347) 622-3922

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 11, 2022

Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1083365035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 102422

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.

550 MONTAUK HWY, Shirley, NY 11967

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Jody Nikia Wong Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547739104

PECOS Enrollment IDI20260513002954

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11967 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIMEE B MEYER LCSW

Social Worker (Clinical)