MR. JONATHAN VANDERBECK
NPI 1699266346
Social Worker in Scotia, NY

Q: What is Jonathan Vanderbeck's NPI number?

The NPI number for Jonathan Vanderbeck is 1699266346. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Q: What is Jonathan Vanderbeck's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Jonathan Vanderbeck enrolled in Medicare?

No. Jonathan Vanderbeck has opted out of Medicare through March 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 29, 2018Opted out of Medicare · through Mar 25, 2027

220 N BALLSTON AVE, SCOTIA, NY 12302(518) 374-3514 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Jonathan Vanderbeck NPPES

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

MR. JONATHAN VANDERBECK (NPI 1699266346) is an individual social worker in Scotia, New York, licensed in New York (103136) and active in the NPI registry since May 2018. He has opted out of Medicare through March 25, 2027.

NPPES Registry Identity

NPI1699266346

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. JONATHAN VANDERBECK

Location Address220 N BALLSTON AVEScotia, NY 12302-2533

Mailing Address220 N Ballston AveScotia, NY 12302-2533 · (518) 374-3514

Phone(518) 374-3514

Sole ProprietorNo

Enumeration DateMay 29, 2018

Last NPPES UpdateSeptember 19, 2018

✔ NPI 1699266346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 103136

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

220 N BALLSTON AVE, Scotia, NY 12302

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jonathan Vanderbeck has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 25, 2021 through March 25, 2027.

Opt-Out Effective DateMarch 25, 2021

Opt-Out In Effect ThroughMarch 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

NICOLE SHEA

Counselor (Mental Health)