Active NPI
Chela Vastey
- Social Worker
- Roxbury, MA
National Provider Identifier
1235734013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 220766
- Practice address
- 1785 Columbus Ave
Roxbury, MA 02119-1041 - Phone
- (617) 989-2922
- NPI assigned
- Dec 1, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 220766 | MA | Primary |
Addresses
Primary practice location
1785 Columbus Ave
Roxbury, MA 02119-1041
Mailing address
1785 Columbus Ave
Roxbury, MA 02119-1041
Phone (617) 989-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220766 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1235734013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 COLUMBUS AVE",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191041",
"telephone_number": "617-989-2922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 COLUMBUS AVE",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021191041",
"telephone_number": "617-989-2922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASTEY",
"first_name": "CHELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "220766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.