Active NPI
Jennifer Vandevelde, LCSW
- Social Worker
- Buffalo, NY
National Provider Identifier
1225266380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R072625-1
- Practice address
- 525 Wahington Street
Buffalo, NY 14203 - Phone
- (716) 856-4494
- Fax
- (716) 856-0827
- NPI assigned
- Jun 29, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R072625-1 | NY | Primary |
Addresses
Primary practice location
525 Wahington Street
Buffalo, NY 14203
Mailing address
3719 Union Rd
Suite 214
Cheektowaga, NY 14225-4249
Phone (716) 681-7394
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
| License | State | Type | Specialty |
|---|---|---|---|
| R072625-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1225266380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3719 UNION RD",
"address_2": "SUITE 214",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254249",
"telephone_number": "716-681-7394",
"fax_number": "716-685-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 WAHINGTON STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14203",
"telephone_number": "716-856-4494",
"fax_number": "716-856-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDEVELDE",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R072625-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.