MR. WESLEY DEMARIUS WILLIS LCSW-R, BCD, RN NPI 1629299664

Social Worker - Clinical in Astoria, NY

Individual Male Social Worker Clinical

About MR. WESLEY DEMARIUS WILLIS LCSW-R, BCD, RN

Wesley Willis is a provider established in Astoria, New York and his medical specialization is Social Worker with a focus in clinical . The NPI number of Wesley Willis is 1629299664 and was assigned on May 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 076729 (NY). The provider is registered as an individual and his NPI record was last updated 11 years ago.

A clinical social worker like Mr. Wesley Demarius Willis Lcsw-r, Bcd, Rn is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

NPI

1629299664

Provider NameMR. WESLEY DEMARIUS WILLIS LCSW-R, BCD, RN
Provider Location Address3016 31ST ST 1ST FLOOR ASTORIA, NY 11102
Provider Mailing Address3016 31ST ST 1ST FLOOR ASTORIA, NY 11102
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date05-01-2007
Last Update Date11-16-2011



Wesley Willis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.076729
License StateNY
Taxonomy DescriptionA 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.

Business Address

MR. WESLEY DEMARIUS WILLIS LCSW-R, BCD, RN
3016 31ST ST
1ST FLOOR
ASTORIA, NY
ZIP 11102
Phone: (347) 502-0965
Fax: (718) 559-6473

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Mailing Address

MR. WESLEY DEMARIUS WILLIS LCSW-R, BCD, RN
3016 31ST ST
1ST FLOOR
ASTORIA, NY
ZIP 11102
Phone: (347) 502-0965
Fax: (718) 559-6473


Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1163W00000XNursing Service ProvidersRegistered Nurse650621NYNo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
03152545MEDICAID (05)NY
G300005846MEDICARE UPIN (02)NY

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629299664
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26494918612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 4 + 9 + 1 + 8 + 6 + 1 + 2 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1629299664 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710068192 SHARON DE JESUS NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)3016 31ST ST
ASTORIA, NY 11102
(917) 557-5741
1285845255DR. NADER GALAL M.D.
Individual
Psychiatry & Neurology (Psychiatry)3016 31ST ST
ASTORIA, NY 11102
(917) 992-7628
1538398052SHARON DE JESUS, NP IN PSYCHIATRY, BC, PLLC
Organization
Nurse Practitioner (Psychiatric/Mental Health)3016 31ST ST
ASTORIA, NY 11102
(917) 557-5741
1669758322 MICHAEL JEFFREY KIM LPSYA
Individual
Psychoanalyst3016 31ST ST
ASTORIA, NY 11102
(917) 202-7261
1497031264 NARCISA ELENA CRACIUN LMHC
Individual
Counselor (Mental Health)3016 31ST ST
ASTORIA, NY 11102
(347) 935-3333
1780011676NEW YORK CONSULTATION MEDICAL
Organization
Psychiatry & Neurology (Psychiatry)3016 31ST ST
ASTORIA, NY 11102
(212) 562-6207
1003011057DR. NAMGYAL D BHUTIA MD
Individual
Psychiatry & Neurology (Psychiatry)3016 31ST ST 1C
ASTORIA, NY 11102
(718) 215-0747
1396220869IN SESSION MENTAL HEALTH COUNSELING
Organization
Counselor (Mental Health)3016 31ST ST
ASTORIA, NY 11102
(516) 770-4314
1851936140 JAMES PETTE
Individual
Counselor (Mental Health)3016 31ST ST
ASTORIA, NY 11102
(516) 462-0134

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Mr. Wesley Demarius Willis Lcsw-r, Bcd, Rn is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.