Active NPI
Joanne Vaccaro, LCSW
- Mental Health Counselor
- Staten Island, NY
National Provider Identifier
1245552249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 071779-1
- Practice address
- 304 Prospect Ave
Staten Island, NY 10301-2115 - Phone
- (718) 447-2630
- Fax
- (718) 981-3827
- NPI assigned
- Feb 18, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 071779-1 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 071779-1 | NY |
Addresses
Primary practice location
304 Prospect Ave
Staten Island, NY 10301-2115
Mailing address
55 Renee PL
Staten Island, NY 10314-3324
Phone (718) 698-3986
Other names 1
- Joanne Vaccaro
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071779-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| The Children'S Aid Society | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700
57 Bay St
Staten Island, NY 10301
Phone (718) 226-3200
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
-
- Voluntary or Charitable Agency
- Brooklyn, NY
- NPI 1467513564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1245552249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 RENEE PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143324",
"telephone_number": "718-698-3986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 PROSPECT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012115",
"telephone_number": "718-447-2630",
"fax_number": "718-981-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACCARO",
"first_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-18",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "071779-1",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071779-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "VACCARO",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.