Individual provider Active NPI

Vanessa Morillo, MSW

  • Community/Behavioral Health Agency
  • Flushing, NY
National Provider Identifier
1366757163
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
14015B Sanford Ave
Flushing, NY 11355-2557
Phone
(718) 358-8288
Fax
(718) 358-5265
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085543-1 NY
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14015B Sanford Ave
Flushing, NY 11355-2557

Mailing address

14015B Sanford Ave
Flushing, NY 11355-2557
Phone (718) 358-8288

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724000345 NY Practitioner - Clinical Social Worker 9335419431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085543-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island CurrentSince Jun 15, 2017 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Harmony Health Care Long Island CurrentSince Jun 15, 2017 Accepting new patients

Locations

101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

1600 Stewart Ave
Ste 300
Westbury, NY 11590
Phone (516) 546-4209

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: vanessa.morillo@lifqhc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1366757163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015B SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552557",
            "telephone_number": "718-358-8288",
            "fax_number": "718-358-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015B SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552557",
            "telephone_number": "718-358-8288",
            "fax_number": "718-358-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORILLO",
        "first_name": "VANESSA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085543-1",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.