Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTANAYA I WALL
NPI 1447866413
Social Worker in Wynantskill, NY

Q: What is Antanaya Wall's NPI number?

The NPI number for Antanaya Wall is 1447866413. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Q: What is Antanaya Wall's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Antanaya Wall was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 September 16, 2020

614 COOPER HILL RD, WYNANTSKILL, NY 12198(518) 283-6500 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Sep 16, 2020 (2 updates tracked since 2020).

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About Antanaya I Wall NPPES

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

ANTANAYA I WALL (NPI 1447866413) is an individual social worker in Wynantskill, New York, licensed in New York (115889) and active in the NPI registry since September 2020. She maintains a secondary practice location in Bayside.

NPPES Registry Identity

NPI1447866413

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameANTANAYA I WALL

Location Address614 COOPER HILL RDWynantskill, NY 12198-2906

Mailing Address614 Cooper Hill RdWynantskill, NY 12198-2906 · (518) 283-6500

Phone(518) 283-6500

Sole ProprietorNo

Enumeration DateSeptember 16, 2020

Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1447866413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 115889

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

614 COOPER HILL RD, Wynantskill, NY 12198

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Secondary Practice Location 1

Location 13635 Bell Blvd Ste 203Bayside, NY 11361-2097 · Phone (718) 504-9256

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.

ELISHAMA PETERSEN

Social Worker (Clinical)