Individual provider Active NPI

Jill A Meskunas-Vanpelt, LCSW-R

  • Clinical Social Worker
  • Binghamton, NY
National Provider Identifier
1740225671
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069978 Issued in NY
Practice address
229-231 State St
Binghamton, NY 13901-2756
Phone
(607) 778-1152
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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 069978 NY Primary

Addresses

Primary practice location

229-231 State St
Binghamton, NY 13901-2756

Mailing address

4513 Old Vestal Rd
Ste 3
Vestal, NY 13850-3571

Other identifiers 1

IdentifierTypeStateIssuer
07300069978MedicaidNY

Other names 1

  • Jill A Meskunas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000071 NY Practitioner - Clinical Social Worker 8123099520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4513 Vestal Rd
Vestal, NY 13850-3571
Phone (607) 729-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
069978NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Van Pelt LCSW PLLC Clinical CurrentSince May 5, 2014 Accepting new patients
Broome County Past Accepting new patients
Broome County Mental Health Department PastSince Jan 1, 2001 Accepting new patients

Locations

4513 Vestal Rd
Vestal, NY 13850
Phone (607) 729-7001

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1740225671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 OLD VESTAL RD",
            "address_2": "STE 3",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229-231 STATE ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012756",
            "telephone_number": "607-778-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESKUNAS-VANPELT",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07300069978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MESKUNAS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.