Phyllis Vedder, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R0207051 Issued in NY

Practice address

89 Daly Road
East Northport, NY 11731-6307

Phone

(631) 462-5987

Fax

(631) 462-5987

NPI assigned

Jan 9, 2007

Last updated

Jan 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Falciglia Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hands Across Long Island, Inc

  • Voluntary or Charitable Agency
  • Central Islip, NY
  • NPI 1427269141
  NPD (past)
• Hands Across Long Island, Incorporated

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1366743973
  NPD (past)
• Laura E Asner CSW PC

  dba Advanced Counseling Associates

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1326079856
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1659420826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 DALY ROAD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316307",
            "telephone_number": "631-462-5987",
            "fax_number": "631-462-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 DALY ROAD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316307",
            "telephone_number": "631-462-5987",
            "fax_number": "631-462-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDDER",
        "first_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0207051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "FALCIGLIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Jane Valet, PT,DPT, CSCS
• Valley Massage Therapy
• Georgia Marie Vanagas, LPN
• Douglas A Vantassell, CASAC-T
• Paul Henry Vazquez, M.S., P.T.
• Deborah Susan Velazquez, M.S., CCC-SLP
• Kimberly Vigier
• Vital Qi Acupuncture
• Ricky R Vohora, DO
• Kathleen Vonstrandtmann, LMT

• Social Worker in East Northport, NY
• Providers in East Northport, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.