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MINNELLY VASQUEZ LCSW
NPI 1134697246
Social Worker - Clinical in New York, NY

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment
3959 BROADWAY FL 8, NEW YORK, NY 10032(212) 305-2700 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2023, Apr 7, 2022, Feb 9, 2022 and 1 more (4 updates tracked since 2018).

About Minnelly Vasquez Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNELLY VASQUEZ LCSW (NPI 1134697246) is an individual clinical provider in New York, New York, licensed in New York (092401) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1134697246
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMINNELLY VASQUEZCredential: LCSW
Location Address3959 BROADWAY FL 8New York, NY 10032-1559
Mailing Address622 W 168th St Ph 11102New York, NY 10032-3720 · (212) 342-0422 · Fax (646) 317-1244
Phone(212) 305-2700
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 6, 2018
Last NPPES UpdateMarch 10, 20234 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
✔ NPI 1134697246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 092401
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 098129-1 (NY)
3959 BROADWAY FL 8, New York, NY 10032
Open in Google Maps ↗

Other Identifiers 1

Medicaid098129-1NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Minnelly Vasquez Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153791355
PECOS Enrollment IDI20230104002796
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $65.69 – $198.19
Typical copayment $0.00 (range $16.42 – $49.54)
Most-billed visit code NA
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNA OEHRLEIN ATC
Specialist/Technologist (Athletic Trainer)
3959 BROADWAY FL 8
NEW YORK, NY 10032
New York County (212) 305-5475
NIKKI OWENS
Specialist/Technologist (Athletic Trainer)
3959 BROADWAY FL 8
NEW YORK, NY 10032
New York County (609) 221-3151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnelly Vasquez's NPI number?

The NPI number for Minnelly Vasquez is 1134697246. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is Minnelly Vasquez located?

Minnelly Vasquez practices at 3959 Broadway Fl 8, New York, NY 10032. The listed phone number is (212) 305-2700.

What is Minnelly Vasquez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Minnelly Vasquez enrolled in Medicare?

Yes. Minnelly Vasquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Minnelly Vasquez was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.