Janice I Vilardo, LCSWR

Individual provider Active NPI Clinical Social Worker · Central Valley, NY

NPI 1003958596 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003958596
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
044029 (NY)
Practice address
375 Rte 32
Central Valley, NY 10917
Phone
(845) 928-5363
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 044029 NY Yes

Addresses

Primary practice location

375 Rte 32
Central Valley, NY 10917

Mailing address

30 Peddler Hill Road
Apt #3
Monroe, NY 10950
Phone (845) 783-5119

Other identifiers

IdentifierTypeStateIssuer
745027OtherAETNA
02044071MedicaidNY
617293OtherMVP
121420OtherVALUE OPTIONS
6884499OtherGHI BMP
P2457714OtherOXFORD
218798OtherMANGED HEALTH NETWORK MHN
NF4841OtherBLUE CROSS BLUE SHIELD

Other providers in Central Valley, NY

All providers in Central Valley, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.