Active NPI
Vinicio Morales, LCSW-R
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1962564195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R019666-1
- Practice address
- 2021 Grand Concourse RM 806
Bronx, NY 10453-4304 - Phone
- (718) 960-0329
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R019666-1 | NY | Primary |
Addresses
Primary practice location
2021 Grand Concourse RM 806
Bronx, NY 10453-4304
Mailing address
2021 Grand Concourse RM 806
Bronx, NY 10453-4304
Phone (718) 960-0329
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R019666-1 | NY | MD | Clinical Social Worker |
| 019666 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1962564195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 GRAND CONCOURSE RM 806",
"city": "BRONX",
"state": "NY",
"postal_code": "104534304",
"telephone_number": "718-960-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 GRAND CONCOURSE RM 806",
"city": "BRONX",
"state": "NY",
"postal_code": "104534304",
"telephone_number": "718-960-0329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "VINICIO",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R019666-1",
"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 Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.