Active NPI
Vasudeva Chikkatur Murthy, LCSWR LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1497859599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R04400401
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02861356 | Medicaid | NY | |
| 37199P | Other | NY | HIP |
| 509078925 | Other | UNITED BEHAVIORAL HEALTH | |
| 0152444 | Other | NY | GHI |
| R044004 | Other | NY | METROPLUS |
| 2324784 | Other | CIGNA | |
| 562616952 | Other | NY | MANGA CARE |
| 570069 | Other | OH | VALUE OPTIONS |
| R044004 | Other | AETNA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC01333400 | NJ | MD | Clinical Social Worker |
| R04400401 | NY | MD | Clinical 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.
-
- Clinical Social Worker
- New York, NY
- NPI 1487738761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.