Theresa Venticinque, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073685-1 Issued in NY

Practice address

4330 Byron Ave
Bronx, NY 10466-1608

Phone

(718) 324-7526

Fax

(718) 994-8465

NPI assigned

Aug 23, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1942634100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BYRON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661608",
            "telephone_number": "718-324-7526",
            "fax_number": "718-994-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BYRON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661608",
            "telephone_number": "718-324-7526",
            "fax_number": "718-994-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTICINQUE",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073685-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishak Venkataraman, MD
• Sundeepkumar Venkatesan, CCC-SLP
• Venkateswara Pharmacy Inc. (Westchester Pharmacy)
• Sindhaghatta K Venkatram, MD
• John Vincent Venticinque, MD
• Imari Ventura-Rochez, CCC-SLP
• Delis S Ventura, LMSW
• Estefany Ventura, LCSW
• Ingrid Ventura
• Maria V Ventura

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.

Verify at the official NPI Registry.