David Mauricio Vidaurre, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095422 Issued in NY

Practice address

2 Center Street
Suite 2
Croton Falls, NY 10519

Phone

(914) 602-2815

NPI assigned

Nov 8, 2020

Last updated

Feb 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1437750106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FRONT ST UNIT 194",
            "city": "CROTON FALLS",
            "state": "NY",
            "postal_code": "105197519",
            "telephone_number": "914-602-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTER STREET",
            "address_2": "SUITE 2",
            "city": "CROTON FALLS",
            "state": "NY",
            "postal_code": "10519",
            "telephone_number": "914-602-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAURRE",
        "first_name": "DAVID",
        "middle_name": "MAURICIO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-08",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12284",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None.",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None.",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None.",
            "address_1": "2 Center Street",
            "address_2": "Suite 2",
            "city": "Croton Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Randi Rothschild, LCSW
• Sarah Grace Rudney-Leiva, MS, OTR/L
• Ralph Rudolph, DDS
• Veronica Ann Smith, PT
• Sandra Anne Tica, MSW, LCSWR
• Kaitlyn Willsey

• Clinical Social Worker in Croton Falls, NY
• Providers in Croton Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.