Active NPI
Christina Louise Vendetti, LMSW, LICSW, LCSW,
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1477038958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50081319
- Practice address
- 7 Warren St
Albany, NY 12203-3611 - Phone
- (914) 539-5613
- NPI assigned
- Oct 1, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 081146-1 | NY | |
| Social Worker | 104100000X | SW133993 | PA | |
| Clinical Social Worker | 1041C0700X | 117479-SW-LICSW | MA | |
| Clinical Social Worker | 1041C0700X | LC50081319 | DC | Primary |
Addresses
Primary practice location
7 Warren St
Albany, NY 12203-3611
Mailing address
7 Warren St
Albany, NY 12203-3611
Phone (914) 539-5613
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081146-1 | Other | NY | NYS OFFICE OF THE PROFESSIONS |
| 117479-SW-LICSW | Other | MA | COMMONWEALTH OF MASSACHUSETTS |
| LC50081319 | Other | DC | DISTRICT OF COLUMBIA DOH |
| SW133993 | Other | PA | COMMONWEALTH OF PENNSYLVANIA |
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 |
|---|---|---|---|
| 081146-1 | NY | MD | Social Worker |
| SW133993 | PA | MD | Social Worker |
| LC50081319 | DC | MD | Clinical Social Worker |
| 117479-SW-LICSW | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1477038958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WARREN ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033611",
"telephone_number": "914-539-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 WARREN ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033611",
"telephone_number": "914-539-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENDETTI",
"first_name": "CHRISTINA",
"middle_name": "LOUISE",
"credential": "LMSW, LICSW, LCSW,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "081146-1",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133993",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "117479-SW-LICSW",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50081319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS OFFICE OF THE PROFESSIONS",
"identifier": "081146-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF MASSACHUSETTS",
"identifier": "117479-SW-LICSW",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISTRICT OF COLUMBIA DOH",
"identifier": "LC50081319",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA",
"identifier": "SW133993",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.