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MR. PRESTON TYLER WHOLLEY LCSW
NPI 1326465360
Social Worker - Clinical in New York, NY

Active since March 27, 2014PECOS Enrolled
169 W 133RD ST, NEW YORK, NY 10030(646) 762-4950 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2018, Dec 21, 2016 (2 updates tracked since 2016).

About Mr. Preston Tyler Wholley Lcsw NPPES

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

MR. PRESTON TYLER WHOLLEY LCSW (NPI 1326465360) is an individual clinical provider in New York, New York, licensed in New York (085020) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1326465360
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. PRESTON TYLER WHOLLEYCredential: LCSW
Location Address169 W 133RD STNew York, NY 10030
Mailing Address169 W 133rd StNew York, NY 10030-3301 · (646) 762-4950 · Fax (646) 762-4951
Phone(646) 762-4950
Sole ProprietorNo
Enumeration DateMarch 27, 2014
Last NPPES UpdateJune 11, 20182 updates tracked since enumeration
✔ NPI 1326465360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 085020✔ Licensed in NY · 089557
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.
169 W 133RD ST, New York, NY 10030
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Secondary Practice Location 1

Location 1123-125 West. 124th StNew York, NY 10027 · Phone (212) 531-1300 · Fax (212) 531-1085

Other Identifiers 1

Medicaid1326465360NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Preston Tyler Wholley Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Preston Wholley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upper Room Aids Ministry, Inc. Adult Day Health Care Center.
Same address
Clinic/Center
169 W 133RD ST
New York, NY 10030
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
NPI 1417986340 (646) 762-4950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10030 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 $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

NICOLE AMANDA ROMAN MSW
Social Worker
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
CARLOS ANTONIO BECERRIL SR. LMSW
Social Worker (Clinical)
169 W 133RD ST
NEW YORK, NY 10030
New York County (212) 849-2780
NEUMA SILLAH MA
Technician, Pathology (Phlebotomy)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
LAUREN SALOMON
Dentist
169 W 133RD ST
NEW YORK, NY 10030
New York County (212) 849-2780
ALISON BEN-MAYOR
Student in an Organized Health Care Education/Training Program
169 W 133RD ST
NEW YORK, NY 10030
New York County (212) 998-9458
LAURA ALTMAN
Social Worker (Clinical)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
MARYAM ZEHRA NAQVI FNP
Nurse Practitioner (Family)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950
VICTOR AZUBIKE AMOBI CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
169 W 133RD ST
NEW YORK, NY 10030
New York County (646) 762-4950

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 Preston Wholley's NPI number?

The NPI number for Preston Wholley is 1326465360. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Preston Wholley located?

Preston Wholley practices at 169 W 133rd St, New York, NY 10030. The listed phone number is (646) 762-4950.

What is Preston Wholley's specialty?

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

Is Preston Wholley enrolled in Medicare?

Yes. Preston Wholley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Preston Wholley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Preston Wholley reassigns Medicare benefits to Upper Room Aids Ministry, Inc. Adult Day Health Care Center. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Preston Wholley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Preston Wholley accept?

Health plans from Oscar Health list Preston Wholley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Preston Wholley was last updated on June 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.