Individual provider Active NPI

Vlad Novet, L.C.S.W.,C.A.S.A.C.

  • Clinical Social Worker
  • Arverne, NY
National Provider Identifier
1215215975
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078493 Issued in NY
Practice address
7600 Shore Front Pkwy
Apt.# 3M
Arverne, NY 11692-1258
Phone
(917) 873-3769
NPI assigned
Jul 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 078493 NY
Mental Health Counselor 101YM0800X 078493 NY
Social Worker 104100000X 078493 NY
Clinical Social Worker 1041C0700X 078493 NY Primary

Addresses

Primary practice location

7600 Shore Front Pkwy
Apt.# 3M
Arverne, NY 11692-1258

Mailing address

7600 Shore Front Pkwy
Apt.# 3M
Arverne, NY 11692-1258
Phone (917) 873-3769

Other identifiers 1

IdentifierTypeStateIssuer
078493MedicaidNY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
078493NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1215215975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 SHORE FRONT PKWY",
            "address_2": "APT.# 3M",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921258",
            "telephone_number": "917-873-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 SHORE FRONT PKWY",
            "address_2": "APT.# 3M",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116921258",
            "telephone_number": "917-873-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVET",
        "first_name": "VLAD",
        "credential": "L.C.S.W.,C.A.S.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "078493",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "078493",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078493",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078493",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.