Individual provider Active NPI

Juanito Vargas, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1013164953
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085494 Issued in NY
Practice address
220 E 42ND St FL 6
New York, NY 10017-5831
Phone
(917) 502-0716
NPI assigned
Aug 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085494 NY Primary

Addresses

Primary practice location

220 E 42ND St FL 6
New York, NY 10017-5831

Mailing address

220 E 42ND St FL 6
New York, NY 10017-5831
Phone (917) 502-0716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502001527 NY Practitioner - Clinical Social Worker 0941542427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085494NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
VNS Health Behavioral Health Inc. CurrentSince Dec 28, 2024 Accepting new patients
VNS Health Behavioral Health Inc. CurrentSince Dec 28, 2024 Accepting new patients

Locations

3030 Northern Blvd
Long Island City, NY 11101
Phone (212) 609-1920

220 E 42nd St
Fl 6
New York, NY 10017
Phone (212) 609-9640

148 W 125th St
New York, NY 10027
Phone (212) 609-7285

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFFHAD/Endpoint/GFFHAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1013164953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175831",
            "telephone_number": "917-502-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 42ND ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175831",
            "telephone_number": "917-502-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "JUANITO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.