Integrative Care Group LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INTEGRATIVE CARE GROUP LCSW PLLC

Practice address

5914 70TH Ave
Ridgewood, NY 11385-5654

Phone

(917) 725-0621

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Cesar Vanegas, LCSWNPI 1942954532

Title

Chief Executive Officer

Phone

(917) 725-0621

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cesar Vanegas, LCSW

  • Clinical Social Worker
  • Ridgewood, NY
  • NPI 1942954532
  NPD Authorized official
• Brooke Vanegas, LCSW

  • Clinical Social Worker
  • Ridgewood, NY
  • NPI 1063167690
  NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1972257038",
    "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": {
        "organization_name": "INTEGRATIVE CARE GROUP LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "VANEGAS",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "917-725-0621",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clement Enorense Idehen, O.D
• Virginia V Ilie, NP
• Stella Ilyaev, M.D.
• Informacion Sin Barreras Ny Inc.
• Saif Inshanally, RPH
• Intercounty OBGYN
• Deidre Ippolito
• Irene Safir Audiology PC
• Olga Iukalo-Tokarski
• Steven R Izzo, DDS

• Clinical Social Worker in Ridgewood, NY
• Providers in Ridgewood, 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 Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.