Tessa A Vining, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076475-1 Issued in NY

Practice address

164 W 74TH St
New York, NY 10023-2301

Phone

(646) 505-2175

Fax

(646) 505-2191

NPI assigned

Oct 30, 2008

Last updated

Dec 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1023261328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232301",
            "telephone_number": "646-505-2175",
            "fax_number": "646-505-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232301",
            "telephone_number": "646-505-2175",
            "fax_number": "646-505-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINING",
        "first_name": "TESSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "067439-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076475-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Rose Vine, M.D.
• Deborah Vineberg, PSYD
• Alexa Amber Vines, RN
• Perri Samantha Vingan, MD
• Lindsay Vining, DPT
• Hanna Vinitsky, DO
• Joy-Sarah Yumiko Vink, MD
• Dave Vinluan
• Francis Jeremy Santos Vinluan, DPT
• Joann Santos Vinluan, R.P.T.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.