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MR. WADE ANTHONY HATHAWAY LCSW
NPI 1295742724
Social Worker - Clinical in Bronx, NY

Active since August 01, 2006PECOS Enrolled
130 W KINGSBRIDGE RD, 5B-09-C, JJ PETERS VAMC,, BRONX, NY 10468(718) 584-9000(718) 741-4709 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Wade Anthony Hathaway Lcsw NPPES

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

MR. WADE ANTHONY HATHAWAY LCSW (NPI 1295742724) is an individual clinical provider in Bronx, New York, licensed in New York (72-068851) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295742724
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. WADE ANTHONY HATHAWAYCredential: LCSW
Location Address130 W KINGSBRIDGE RD, 5B-09-C, JJ PETERS VAMC,Bronx, NY 10468
Mailing Address3218 Cambridge Ave, No 3Bronx, NY 10463 · (347) 427-2988
Phone(718) 584-9000
Fax(718) 741-4709
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 1, 2006
Last NPPES UpdateJanuary 12, 2009
✔ NPI 1295742724 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 · 72-068851
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.
130 W KINGSBRIDGE RD, Bronx, NY 10468
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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 (PECOS)

Mr. Wade Anthony Hathaway Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789155029
PECOS Enrollment IDI20260608001194
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 10468 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.

DR. KELLY RAE CLARK PHARM.D.
Pharmacist (Psychiatric)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
CHARISSE JAMES
Social Worker
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. JEREMY SILVERMAN PHD
Psychologist (Clinical)
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
GUANQING SUN MD
Hospitalist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
DR. MONICA ANN SORIO
Pharmacist
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000
MRS. BLANCA VICTORIA FABER MSW, ACSW, LCSW
Social Worker (Clinical)
130 W KINGSBRIDGE RD, J. J. PETERS VA MEDICAL CENTER
BRONX, NY 10468
Bronx County (718) 584-9000
DR. HELENE EVE PRICE M.D.
Psychiatry & Neurology (Neurology)
130 W KINGSBRIDGE RD, NEUROLOGY DEPT., BRONX VETERANS HOSPITAL
BRONX, NY 10468
Bronx County (718) 584-9000
MS. ALBA L HERNANDEZ MS, RD
Dietitian, Registered
130 W KINGSBRIDGE RD
BRONX, NY 10468
Bronx County (718) 584-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wade Hathaway's NPI number?

The NPI number for Wade Hathaway is 1295742724. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Wade Hathaway located?

Wade Hathaway practices at 130 W Kingsbridge Rd 5b-09-C, Jj Peters Vamc,, Bronx, NY 10468. The listed phone number is (718) 584-9000.

What is Wade Hathaway's specialty?

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

Is Wade Hathaway enrolled in Medicare?

Yes. Wade Hathaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wade Hathaway was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.