Vivian Fantauzzi, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I445 Issued in OH

Practice address

517 Gypsy LN
Youngstown, OH 44504-1314

Phone

(330) 746-7929

Fax

(330) 746-7939

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

University of Chicago, Pritzker School of Medicine, 1979

Medicare assignment

May accept Medicare assignment

Group practices

Youngstown Area Jewish FederationGroup PAC ID 9931007713, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Youngstown Area Jewish Federation

  dba Jewish Family Services

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1841340056
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326196197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041314",
            "telephone_number": "330-746-7929",
            "fax_number": "330-746-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041314",
            "telephone_number": "330-746-7929",
            "fax_number": "330-746-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTAUZZI",
        "first_name": "VIVIAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Nurse Care of Ohio, LLC (Alpine Care Home Health)
• Yanli Fan, M.D., PH.D.
• Amanda Fanning
• Keonia Fant
• Samara Danielle Fant
• Paul Fantauzzo, D.O.
• Dawn Fantone, LPN
• Aaron Farago
• Alenna Farina
• Rocky James Farmartino

• Clinical Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.