Active NPI
Danamarie Vaccara, LMSW
- Social Worker
- Dix Hills, NY
National Provider Identifier
1902154925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 083819
- Practice address
- 197 Half Hollow Rd
Dix Hills, NY 11746-5861 - Phone
- (631) 370-1705
- NPI assigned
- Aug 23, 2012
- Last updated
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 083819 | NY | Primary |
| School Social Worker | 1041S0200X | 083819 | NY |
Addresses
Primary practice location
197 Half Hollow Rd
Dix Hills, NY 11746-5861
Mailing address
197 Half Hollow Rd
Dix Hills, NY 11746-5861
Phone (631) 370-1705
Other practice location 1
11515 101st Ave
South Richmond Hill, NY 11419-1247
Phone (718) 441-5333 ext. 1414
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 |
|---|---|---|---|
| 083819 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartshare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- South Richmond Hill, NY
- NPI 1801264635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1902154925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465861",
"telephone_number": "631-370-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465861",
"telephone_number": "631-370-1705"
}
],
"practiceLocations": [
{
"address_1": "11515 101st Ave",
"address_purpose": "LOCATION",
"city": "South Richmond Hill",
"state": "NY",
"postal_code": "114191247",
"country_code": "US",
"telephone_number": "718-441-5333 x1414",
"fax_number": "718-805-0657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VACCARA",
"first_name": "DANAMARIE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-23",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "083819",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "083819",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.