Active NPI
Angelica Valentine, LCSW
- Clinical Social Worker
- Yonkers, NY
National Provider Identifier
1629399050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 081296
- Practice address
- 8 Bashford St
Yonkers, NY 10701-2743 - Phone
- (914) 345-2800
- NPI assigned
- Jun 21, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081296 | NY | Primary |
Addresses
Primary practice location
8 Bashford St
Yonkers, NY 10701-2743
Mailing address
8 Bashford St
Yonkers, NY 10701-2743
Phone (914) 345-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355940 | Other | NY | AGENCY MEDICAID PROVIDER ID |
| 1285628552 | Other | NY | AGENCY NPI# |
| WVE061 | Other | NY | AGENCY MEDICARE ID# |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081296 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1629399050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BASHFORD ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012743",
"telephone_number": "914-345-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BASHFORD ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012743",
"telephone_number": "914-345-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "ANGELICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID PROVIDER ID",
"identifier": "00355940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY NPI#",
"identifier": "1285628552",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICARE ID#",
"identifier": "WVE061",
"state": "NY"
}
],
"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 Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.