Active NPI
Monica Vantine, LCSW-R
- Social Worker
- Orchard Park, NY
National Provider Identifier
1306124698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 072297
- Practice address
- 6666 E Quaker St Ste 4
Orchard Park, NY 14127-2547 - Phone
- (716) 226-6873
- NPI assigned
- Aug 3, 2011
- 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 | 072297 | NY | Primary |
Addresses
Primary practice location
6666 E Quaker St Ste 4
Orchard Park, NY 14127-2547
Mailing address
6666 E Quaker St Ste 4
Orchard Park, NY 14127-2547
Phone (716) 226-6873
Other names 1
- Monica Lindsey Jensen
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 |
|---|---|---|---|
| 072297 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1306124698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6666 E QUAKER ST STE 4",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272547",
"telephone_number": "716-226-6873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6666 E QUAKER ST STE 4",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141272547",
"telephone_number": "716-226-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTINE",
"first_name": "MONICA",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "072297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "JENSEN",
"middle_name": "LINDSEY",
"credential": "LCSW-R",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.