Eric M Vingo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

011438 Issued in CT

Practice address

284 Racebrook Rd Ste 218
Orange, CT 06477

Phone

(203) 800-3868

NPI assigned

Jan 29, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Practice roles

Locations

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.

• State of Connecticut

  • Psychiatric Hospital
  • New Haven, CT
  • NPI 1881629434
  Medicare reassignment NPD
• Rise Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Orange, CT
  • NPI 1760947824
  NPD Authorized official
• State of Connecticut

  • Skilled Nursing Facility
  • Rocky Hill, CT
  • NPI 1205951662
  NPD

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1942764394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 RACEBROOK RD STE 218",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "06477",
            "telephone_number": "203-800-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 RACEBROOK RD STE 218",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "06477",
            "telephone_number": "203-800-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINGO",
        "first_name": "ERIC",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "011438",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Velardi, PA-C
• Veo Vision Center, LLC
• Nicole Rose Victor, DPT
• Tania Ann Vidosevic, BCBA, LBA
• Melissa Viezel, SPEECH THERAPY
• Walgreen Eastern Co Inc
• Mikayla Walker
• Ling Wang, LMFT
• Laurel Winnick Waple, OTR/L
• Cheryl Waskiewicz, APRN

• Clinical Social Worker in Orange, CT
• Providers in Orange, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.