Individual provider Active NPI

Cristen Vanvleet, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1679154322
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085717 Issued in NY
Practice address
400 Lincoln PL Apt 5a
Brooklyn, NY 11238-5821
Phone
(512) 560-4421
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085717 NY Primary

Addresses

Primary practice location

400 Lincoln PL Apt 5a
Brooklyn, NY 11238-5821

Mailing address

400 Lincoln PL Apt 5a
Brooklyn, NY 11238-5821
Phone (512) 560-4421

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

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1679154322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LINCOLN PL APT 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385821",
            "telephone_number": "512-560-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LINCOLN PL APT 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385821",
            "telephone_number": "512-560-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVLEET",
        "first_name": "CRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.