Active NPI
Angelica Marie Vasquez, LMSW
- Social Worker
- Staten Island, NY
National Provider Identifier
1013727239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 125849
- Practice address
- 1110 South Ave Ste 404
Staten Island, NY 10314-3411 - Phone
- (800) 277-4680
- NPI assigned
- Jan 9, 2025
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 125849 | NY | Primary |
Addresses
Primary practice location
1110 South Ave Ste 404
Staten Island, NY 10314-3411
Mailing address
109 Purcell St
Staten Island, NY 10310-2730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125849 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1013727239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PURCELL ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103102730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 SOUTH AVE STE 404",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143411",
"telephone_number": "800-277-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "ANGELICA",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "U",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "125849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.