Active NPI
Esmeralda Vasquez, LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1922565530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 095752
- Practice address
- 579 Courtlandt Ave
Bronx, NY 10451-5013 - Phone
- (718) 485-2100
- NPI assigned
- Mar 1, 2019
- 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 | 106168 | NY | |
| Clinical Social Worker | 1041C0700X | 095752 | NY | Primary |
Addresses
Primary practice location
579 Courtlandt Ave
Bronx, NY 10451-5013
Mailing address
3660 Waldo Ave Apt 3C
Bronx, NY 10463-2227
Phone (347) 806-6205
Other practice location 1
307 W 38th St Fl 6
New York, NY 10018-9537
Phone (212) 695-4564
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106168 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Psychotherapy and Counseling Center | Current | Accepting new patients | |
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
Locations
579 Courtlandt Ave
Bronx, NY 10451
Phone (718) 908-8000
2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100
17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1922565530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 WALDO AVE APT 3C",
"city": "BRONX",
"state": "NY",
"postal_code": "104632227",
"telephone_number": "347-806-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 COURTLANDT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104515013",
"telephone_number": "718-485-2100"
}
],
"practiceLocations": [
{
"address_1": "307 W 38th St Fl 6",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100189537",
"country_code": "US",
"telephone_number": "212-695-4564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "ESMERALDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-01",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "106168",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "095752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.