Active NPI
Amanda Vaughan, LCSW
- Social Worker
- Yonkers, NY
National Provider Identifier
1568732592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 085845-01
- Practice address
- 21 Odell Ave
Yonkers, NY 10701-1242 - Phone
- (914) 255-1609
- NPI assigned
- Jan 6, 2012
- Last updated
- Jun 2, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 085845-01 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 083829 | NY |
Addresses
Primary practice location
21 Odell Ave
Yonkers, NY 10701-1242
Mailing address
21 Odell Ave
Yonkers, NY 10701-1242
Phone (914) 255-1609
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 |
|---|---|---|---|
| 085845-01 | NY | MD | Social Worker |
| 083829 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1568732592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 ODELL AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011242",
"telephone_number": "914-255-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 ODELL AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011242",
"telephone_number": "914-255-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "AMANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-06",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "085845-01",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "083829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.