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Wade Hathaway, LCSW
NPI 1295742724 · Clinical Social Worker · Bronx, NY
Wade Hathaway, LCSW is a Clinical Social Worker provider in Bronx, NY (NPI 1295742724).
Provider details
- NPI number
- 1295742724
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 72-068851 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 W Kingsbridge Rd
5b-09-C, Jj Peters Vamc,
Bronx, NY 10468
Phone: (718) 584-9000
Fax: (718) 741-4709
Street-level locationGet directions
Mailing address
3218 Cambridge Ave
Bronx, NY 10463
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2009-01-12
Frequently asked questions
- What is Wade Hathaway's NPI number?
- Wade Hathaway's National Provider Identifier (NPI) is 1295742724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wade Hathaway's specialty?
- Wade Hathaway is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Wade Hathaway located?
- Wade Hathaway's practice location on file with NPPES is 130 W Kingsbridge Rd, Bronx, NY 10468.
- What is Wade Hathaway's phone number?
- The practice phone number listed in the NPPES registry for Wade Hathaway is (718) 584-9000.
- Is Wade Hathaway's NPI active?
- Yes — Wade Hathaway's NPI (1295742724) is active in the NPPES registry as of the last update on 2009-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.