Active NPI
Vivian Vallejo, MSW
- Social Worker
- Greenwich, CT
National Provider Identifier
1467053975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 100 Melrose Ave Ste 103
Greenwich, CT 06830-6277 - Phone
- (203) 970-4738
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
100 Melrose Ave Ste 103
Greenwich, CT 06830-6277
Mailing address
191 Grace Church St # 1R
Port Chester, NY 10573-5120
Phone (914) 319-8030
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Systemic Psychotherapy, LLC | Current | Accepting new patients |
Locations
100 Melrose Ave
Ste 103
Greenwich, CT 06830
Phone (203) 869-3196
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Greenwich, CT
- NPI 1205471307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1467053975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 GRACE CHURCH ST # 1R",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105735120",
"telephone_number": "914-319-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MELROSE AVE STE 103",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306277",
"telephone_number": "203-970-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEJO",
"first_name": "VIVIAN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.