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DR. WESLEY DEMARIUS WILLIS PSY.D, LCSW-R, RN
NPI 1629299664
Social Worker - Clinical in New York, NY

Active since May 01, 2007
1740 BROADWAY FL 15, NEW YORK, NY 10019(347) 502-0965(917) 725-8319 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Wesley Demarius Willis Psy.d, Lcsw-r, Rn NPPES

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

DR. WESLEY DEMARIUS WILLIS PSY.D, LCSW-R, RN (NPI 1629299664) is an individual clinical provider in New York, New York, licensed in New York (076729) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1629299664
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDR. WESLEY DEMARIUS WILLISCredential: PSY.D, LCSW-R, RN
Location Address1740 BROADWAY FL 15New York, NY 10019-4605
Mailing Address3016 31st St, 1st FloorAstoria, NY 11102-2269 · (347) 502-0965 · Fax (718) 559-6473
Phone(347) 502-0965
Fax(917) 725-8319
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1629299664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 076729
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 650621 (NY)
1740 BROADWAY FL 15, New York, NY 10019
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Other Identifiers 1

Medicaid03152545NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MRS. RHAYSA M SAINT-HILAIRE LCSW-R PSYCHOTHERAPY
Social Worker (Clinical)
1740 BROADWAY FL 15
NEW YORK, NY 10019
New York County (201) 256-5032
ROSIE LOVE LMSW
Social Worker
1740 BROADWAY FL 15
NEW YORK, NY 10019
New York County (917) 620-3104
BLUE FOX TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
1740 BROADWAY FL 15
NEW YORK, NY 10019
New York County (718) 586-4799
CENTERBRITE INC.
Behavior Analyst
1740 BROADWAY FL 15
NEW YORK, NY 10019
New York County (202) 270-4884

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 Wesley Willis's NPI number?

The NPI number for Wesley Willis is 1629299664. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Wesley Willis located?

Wesley Willis practices at 1740 Broadway Fl 15, New York, NY 10019. The listed phone number is (347) 502-0965.

What is Wesley Willis's specialty?

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

What insurance does Wesley Willis accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Moda Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Wesley Willis 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 Wesley Willis was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.