Individual provider Active NPI

Amanda Christine Vilaseca, LCSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1639616105
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090807 Issued in NY
Practice address
1 Nassau Rd Apt 4
Yonkers, NY 10710-1641
Phone
(646) 651-3717
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099522 NY
Clinical Social Worker 1041C0700X 090807 NY Primary

Addresses

Primary practice location

1 Nassau Rd Apt 4
Yonkers, NY 10710-1641

Mailing address

150 W 225TH St Apt 6D
Bronx, NY 10463-5040
Phone (646) 651-3717

Other practice location 1

915 Westchester Ave
Bronx, NY 10459-3009
Phone (718) 764-1570

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

LicenseStateTypeSpecialty
090807NYMDSocial Worker
099522NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1639616105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 225TH ST APT 6D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635040",
            "telephone_number": "646-651-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NASSAU RD APT 4",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107101641",
            "telephone_number": "646-651-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593009",
            "country_code": "US",
            "telephone_number": "718-764-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILASECA",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099522",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090807",
            "primary": true
        }
    ],
    "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 Jul 13, 2021; 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.