Individual provider Active NPI

Anna Vardakis

  • Clinical Social Worker
  • Trenton, NJ
National Provider Identifier
1306576228
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06077600 Issued in NJ
Practice address
321 N Warren St
Trenton, NJ 08618-4741
Phone
(609) 278-6378
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06077600 NJ Primary

Addresses

Primary practice location

321 N Warren St
Trenton, NJ 08618-4741

Mailing address

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-6378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221011002020 NJ Practitioner - Clinical Social Worker 1850767153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-6029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J Austin Health Center Inc Current Accepting new patients
Henry J Austin Health Center, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Henry J. Austin Health Center, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Henry J Austin Health Center Inc Past Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients

Locations

10 Southard St
Trenton, NJ 08609
Phone (609) 396-4557

112 Ewing St
Trenton, NJ 08609
Phone (609) 278-6033

218 N Broad St
Trenton, NJ 08608
Phone (609) 581-0283

314 E State St
Trenton, NJ 08608
Phone (609) 396-4258

321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029

433 Bellevue Ave
Fl 4
Trenton, NJ 08618
Phone (609) 278-6029

Interoperability endpoints

  • Direct secure messaging: anna.vardakis.1@12521.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12521/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1306576228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N WARREN ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086184741",
            "telephone_number": "609-278-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDAKIS",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06077600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.