Individual provider Active NPI

Olga Vazquez, LCSW CASAC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1063684355
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
70 Greenwich Ave
Suite 250
New York, NY 10011-8384
Phone
(646) 831-0727
Fax
(212) 691-8661
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 Primary

Addresses

Primary practice location

70 Greenwich Ave
Suite 250
New York, NY 10011-8384

Mailing address

70 Greenwich Ave
Suite 250
New York, NY 10011-8384
Phone (646) 831-0727

Other identifiers 1

IdentifierTypeStateIssuer
A400000843OtherNYMEDICARE

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
I20080816000008 NY Practitioner - Clinical Social Worker 0244305852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Clinical CurrentSince Mar 20, 2011 Accepting new patients
The Institute for Family Health Clinical CurrentSince Mar 20, 2011 Accepting new patients
The Institute for Family Health Clinical Current Accepting new patients
Cis Counseling Center Past Accepting new patients
Cis Counseling Center Inc Clinical PastSince Jun 1, 2008 Accepting new patients

Locations

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

251 W 80th St
New York, NY 10024

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

Organizations & group practices 5

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1063684355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GREENWICH AVE",
            "address_2": "SUITE 250",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118384",
            "telephone_number": "646-831-0727",
            "fax_number": "212-691-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GREENWICH AVE",
            "address_2": "SUITE 250",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118384",
            "telephone_number": "646-831-0727",
            "fax_number": "212-691-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "OLGA",
        "credential": "LCSW CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400000843",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.