Active NPI
Vanessa Rose Patterson-Bancroft, LMSW
- Social Worker
- Lockport, NY
National Provider Identifier
1831763366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106482
- Practice address
- 5447 Upper Mountain Rd
Lockport, NY 14094-1811 - Phone
- (716) 799-4581
- NPI assigned
- May 19, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 106482 | NY | Primary |
Addresses
Primary practice location
5447 Upper Mountain Rd
Lockport, NY 14094-1811
Mailing address
5447 Upper Mountain Rd
Lockport, NY 14094-1811
Phone (716) 799-4581
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106482 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1831763366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 UPPER MOUNTAIN RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140941811",
"telephone_number": "716-799-4581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5447 UPPER MOUNTAIN RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140941811",
"telephone_number": "716-799-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON-BANCROFT",
"first_name": "VANESSA",
"middle_name": "ROSE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "106482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.