Individual provider Active NPI

Cesar Vanegas, LCSW

  • Clinical Social Worker
  • Ridgewood, NY
National Provider Identifier
1942954532
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086444 Issued in NY
Practice address
5914 70TH Ave
Ridgewood, NY 11385-5654
Phone
(917) 725-0621
NPI assigned
Feb 11, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 086444 NY Primary

Addresses

Primary practice location

5914 70TH Ave
Ridgewood, NY 11385-5654

Mailing address

5914 70TH Ave
Ridgewood, NY 11385-5654
Phone (917) 725-0621

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610000333 NY Practitioner - Clinical Social Worker 9335659358 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086444NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Consultation Center, Inc. Clinical CurrentSince Oct 13, 2025 Accepting new patients
Integrative Care Group LCSW PLLC Clinical CurrentSince Feb 1, 2022 Accepting new patients
Center for Alternative Sentencing and Employment Services Clinical CurrentSince Apr 24, 2025 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients

Locations

151 Lawrence St
Fl 3
Brooklyn, NY 11201
Phone (212) 553-6300

9131 Queens Blvd
Ste 222
Elmhurst, NY 11373
Phone (718) 896-3400

2090 Adam Clayton Powell Jr Blvd
Fl 4
New York, NY 10027
Phone (212) 553-6708

5914 70th Ave
Ridgewood, NY 11385
Phone (646) 791-7821

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1942954532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 70TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855654",
            "telephone_number": "917-725-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 70TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855654",
            "telephone_number": "917-725-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS",
        "first_name": "CESAR",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

Verify at the official NPI Registry.