Individual provider Active NPI

Monica Vantine, LCSW-R

  • Social Worker
  • Orchard Park, NY
National Provider Identifier
1306124698
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072297 Issued in NY
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

Updated by the provider on Jan 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
072297NYMDSocial 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.

Verify at the official NPI Registry.