Individual provider Active NPI

Linda Vanella, LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1114277613
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
045323 Issued in NY
Practice address
119 W 57TH St Ste 1100
New York, NY 10019-2401
Phone
(516) 606-0811
Fax
(786) 463-1691
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 045323 NY Primary

Addresses

Primary practice location

119 W 57TH St Ste 1100
New York, NY 10019-2401

Mailing address

400 Kings Point Dr Apt 215
Sunny Isles Beach, FL 33160-4732
Phone (631) 793-3555

Other practice location 1

12 Hempstead Ave Apt 2R
Rockville Centre, NY 11570-4017
Phone (516) 606-0811

Other names 1

  • Linda Vanella Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114277613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 KINGS POINT DR APT 215",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331604732",
            "telephone_number": "16317933555",
            "fax_number": "786-463-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192401",
            "telephone_number": "516-606-0811",
            "fax_number": "786-463-1691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Hempstead Ave Apt 2R",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115704017",
            "country_code": "US",
            "telephone_number": "516-606-0811",
            "fax_number": "786-463-1691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANELLA",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "045323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "VANELLA",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.