Individual provider Active NPI

Vasudeva Chikkatur Murthy, LCSWR LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1497859599
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R04400401 Issued in NY
Practice address
38 W 32ND St Ste 1511
New York, NY 10001-3875
Phone
(917) 215-2169
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NY
Clinical Social Worker 1041C0700X R04400401 NY Primary
Clinical Social Worker 1041C0700X 44SC01333400 NJ

Addresses

Primary practice location

38 W 32ND St Ste 1511
New York, NY 10001-3875

Mailing address

25403 84TH Drive
Floral Park, NY 11001-1009
Phone (516) 209-4843

Other practice location 1

185 Montague St
2 Floor
Brooklyn, NY 11201-3608
Phone (718) 222-1701

Other identifiers 9

IdentifierTypeStateIssuer
02861356MedicaidNY
37199POtherNYHIP
509078925OtherUNITED BEHAVIORAL HEALTH
0152444OtherNYGHI
R044004OtherNYMETROPLUS
2324784OtherCIGNA
562616952OtherNYMANGA CARE
570069OtherOHVALUE OPTIONS
R044004OtherAETNA

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
I20070312000163 NY Practitioner - Clinical Social Worker 7315040466 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC01333400NJMDClinical Social Worker
R04400401NYMDClinical Social Worker

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1497859599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25403 84TH DRIVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011009",
            "telephone_number": "516-209-4843",
            "fax_number": "801-708-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST STE 1511",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013875",
            "telephone_number": "917-215-2169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Montague St",
            "address_2": "2 FLOOR",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013608",
            "country_code": "US",
            "telephone_number": "718-222-1701",
            "fax_number": "801-708-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "VASUDEVA",
        "middle_name": "CHIKKATUR",
        "name_prefix": "Mr.",
        "credential": "LCSWR LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R04400401",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01333400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02861356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "37199P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "509078925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0152444",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROPLUS",
            "identifier": "R044004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2324784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANGA CARE",
            "identifier": "562616952",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "570069",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "R044004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.