Active NPI
Beth Vardaro LCSW PC
- Community/Behavioral Health Agency
- Oceanside, NY
National Provider Identifier
1992034748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- R-052901-1
- Legal business name
- BETH VARDARO LCSW PC
- Practice address
- 341 Links Dr E
Oceanside, NY 11572-5624 - Phone
- (516) 678-1796
- Fax
- (516) 678-1796
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beth Vardaro, LCSW
- Title
- President
- Phone
- (516) 678-1796
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | R-052901-1 | NY | Primary |
Addresses
Primary practice location
341 Links Dr E
Oceanside, NY 11572-5624
Mailing address
341 Links Dr E
Oceanside, NY 11572-5624
Phone (516) 678-1796
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02537864 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Oceanside, NY
- NPI 1558435461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260230400000",
"number": "1992034748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 LINKS DR E",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725624",
"telephone_number": "516-678-1796",
"fax_number": "516-678-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 LINKS DR E",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115725624",
"telephone_number": "516-678-1796",
"fax_number": "516-678-1796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETH VARDARO LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2009-12-08",
"status": "A",
"authorized_official_last_name": "VARDARO",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-678-1796",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "R-052901-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02537864",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.