MR. GARY SCOTT WOLK LCSW-R CASAC CGP NPI 1780653931

NPI Information

NPI: 1780653931
Provider Name: MR. GARY SCOTT WOLK, LCSW-R, CASAC, CGP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
16 N GOODMAN ST
ROCHESTER, NY
ZIP 14607
Phone: (585) 546-6560
Get Directions

MR. Gary Scott Wolk, LCSW-R, CASAC, CGP is an addiction (substance use disorder) counselor in Rochester, NY. MR. Gary Scott Wolk, LCSW-R, CASAC, CGP NPI is 1780653931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16 N GOODMAN ST
ROCHESTER, NY
ZIP 14607-554
Phone: (585) 546-6560

The NPI 1780653931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	5666	NEW YORK	Yes
2	1041C0700X	Social Worker	Clinical	R058024	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	114045FK	OTHER	NEW YORK	PREFERRED CARE/MVP HEALTH
2	02561291	MEDICAID	NEW YORK
3	7758505	OTHER	NEW YORK	AETNA PPO/POS (PIN)
4	IA0507	MEDICARE PIN	NEW YORK
5	P14975	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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