Active NPI
Vivien Mott
- Clinical Social Worker
- Roosevelt, NY
National Provider Identifier
1235679903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 030158
- Practice address
- 1 Wagner Ave
Roosevelt, NY 11575-1528 - Phone
- (516) 345-7228
- NPI assigned
- Mar 1, 2017
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 030158 | NY | Primary |
Addresses
Primary practice location
1 Wagner Ave
Roosevelt, NY 11575-1528
Mailing address
1 Wagner Ave
Roosevelt, NY 11575-1528
Phone (516) 345-7228
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": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1235679903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WAGNER AVE",
"city": "ROOSEVELT",
"state": "NY",
"postal_code": "115751528",
"telephone_number": "516-345-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WAGNER AVE",
"city": "ROOSEVELT",
"state": "NY",
"postal_code": "115751528",
"telephone_number": "516-345-7228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "VIVIEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "030158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roosevelt, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.