Active NPI
Linda Vanella, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1114277613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 045323
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.