Active NPI
Bridget Vaher, LMSW
- Social Worker
- Bay Shore, NY
National Provider Identifier
1386292183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106554-01
- Practice address
- 1444 5TH Avenue
Bay Shore, NY 11706 - Phone
- (631) 650-0115
- NPI assigned
- Aug 27, 2019
- Reactivated
- Oct 14, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 106554-01 | NY | |
| Social Worker | 104100000X | 106554-01 | NY | Primary |
Addresses
Primary practice location
1444 5TH Avenue
Bay Shore, NY 11706
Mailing address
394A Lenox Road
Huntington Station, NY 11746
Phone (631) 813-9403
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 |
|---|---|---|---|
| 106554-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1386292183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "394A LENOX ROAD",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "11746",
"telephone_number": "631-813-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 5TH AVENUE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-650-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHER",
"first_name": "BRIDGET",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2019-10-18",
"deactivation_date": "2019-08-28",
"reactivation_date": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "106554-01",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "106554-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.