Active NPI
Benjamin Vanroy, LCSW
- Clinical Social Worker
- Mount Kisco, NY
National Provider Identifier
1881142131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091718
- Practice address
- 16 Terrace PL
Mount Kisco, NY 10549-3012 - Phone
- (310) 795-5968
- NPI assigned
- Sep 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW79169 | CA | |
| Clinical Social Worker | 1041C0700X | 091718 | NY | Primary |
Addresses
Primary practice location
16 Terrace PL
Mount Kisco, NY 10549-3012
Mailing address
16 Terrace PL
Mount Kisco, NY 10549-3012
Phone (310) 795-5968
Other practice location 1
3881 S Western Ave
Los Angeles, CA 90062-1105
Phone (800) 340-9005
Other practice location 2
500 8th Ave Rm 906
New York, NY 10018-4190
Phone (212) 679-4960
Other practice location 3
500 8th Ave Rm 906
New York, NY 10018-4190
Phone (212) 679-4960
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 |
|---|---|---|---|
| ASW79169 | CA | MD | Mental Health Counselor |
| 091718 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1881142131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 TERRACE PL",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493012",
"telephone_number": "310-795-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 TERRACE PL",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493012",
"telephone_number": "310-795-5968"
}
],
"practiceLocations": [
{
"address_1": "3881 S Western Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900621105",
"country_code": "US",
"telephone_number": "800-340-9005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 8th Ave Rm 906",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100184190",
"country_code": "US",
"telephone_number": "212-679-4960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 8th Ave Rm 906",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100184190",
"country_code": "US",
"telephone_number": "212-679-4960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANROY",
"first_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-15",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW79169",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.