Brooke Vanegas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081317 Issued in NY

Practice address

5914 70TH Ave
Ridgewood, NY 11385-5654

Phone

(646) 791-7821

NPI assigned

Feb 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Integrative Care Group LCSW PLLC

  • Clinical Social Worker
  • Ridgewood, NY
  • NPI 1972257038
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1063167690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 70TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 70TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855654",
            "telephone_number": "646-791-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS",
        "first_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• US Tech Rehab, Inc
• USA Professional Medical Services of New York LLC
• Inna Vaksman, DDS
• Denise Valentin, LMHC
• Irene Vallejo
• Cesar Vanegas, LCSW
• Mira Vasjari
• Dan Jason M Velez
• Carmen E. Vidal
• Ana Villacis

• Clinical Social Worker in Ridgewood, NY
• Providers in Ridgewood, 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 Mar 23, 2022; 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.