Pedro Vicente, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SW05327400 Issued in NJ

Practice address

63 Grove St
Bloomfield, NJ 07003-5641

Phone

(973) 743-2919

NPI assigned

May 16, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1114219730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FAIRMOUNT TER # 1",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182356",
            "telephone_number": "973-652-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GROVE ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035641",
            "telephone_number": "973-743-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "PEDRO",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SW05327400",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SW05327400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114219730",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emelyn Vargas, LPC
• Kathryn Vargo Hsu
• Amrita S. Varma, DDS
• Irmina Montaniel Verzosa, RPT
• Joselyn Emma Vicente Ricci
• Laura Vilar, DC
• Jennifer Elizabeth Vilcachagua, PHYSICIAN ASSISTANT
• Mary Ann Villanueva, PT
• Kaitlyn Vinals
• Monique Vindas, APN

• Social Worker in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.