Active NPI
Vanessa Trujillo
- Clinical Social Worker
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084469
- Practice address
- 731 White Plains Rd
Bronx, NY 10473-2631 - Phone
- (718) 589-8775
- NPI assigned
- Aug 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72 089766 | NY | |
| Clinical Social Worker | 1041C0700X | 084469 | NY | Primary |
Addresses
Primary practice location
731 White Plains Rd
Bronx, NY 10473-2631
Mailing address
380 Malcolm X Blvd Apt 3D
New York, NY 10027-2382
Phone (562) 972-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Missouri, Columbia School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 -98 E 168TH St
Bronx, NY 10452-7929
Phone (718) 293-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72 089766 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Current | Accepting new patients |
| The Institute for Family Health | Clinical | Current | Accepting new patients |
Locations
731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324
50 E 168th St
#98
Bronx, NY 10452
Phone (718) 293-3900
279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1225386105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MALCOLM X BLVD APT 3D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100272382",
"telephone_number": "562-972-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104732631",
"telephone_number": "718-589-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72 089766",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.