Bernardino Villafane Sr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R057652 Issued in NY

Practice address

19 W 34TH St
Suite 1021
New York, NY 10001-3006

Phone

(917) 627-3761

Fax

(845) 290-6455

NPI assigned

Apr 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508081670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MARION CT",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702634",
            "telephone_number": "917-627-3761",
            "fax_number": "845-290-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST",
            "address_2": "SUITE 1021",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "917-627-3761",
            "fax_number": "845-290-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANE",
        "first_name": "BERNARDINO",
        "name_suffix": "Sr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Torres Villacasio, FNP-BC
• Mila Rose Villaceran, FNP
• Ana P Villacis-Velez, FNP
• Keith Villacorta
• Stephany Villacres, NP
• Gladys Villafane, ADDICTION COUNSELOR
• Vanessa Villafane
• Luciana Villafranca, M.S., CCC-SLP
• Elvira Marie Villafuerte, MD
• Village Acquisition I LLC

• Clinical Social Worker in New York, NY
• Providers in New York, 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 Jul 8, 2007; 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.