MEDICARE: MR. VASUDEVA CHIKKATUR MURTHY LCSWR LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker		NY
2	1041C0700X	Clinical Social Worker	R04400401	NY
3	1041C0700X	Clinical Social Worker	44SC01333400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	37199P	OTHER	NY	HIP
3	509078925	OTHER		UNITED BEHAVIORAL HEALTH
4	0152444	OTHER	NY	GHI
5	R044004	OTHER	NY	METROPLUS
6	2324784	OTHER		CIGNA
7	562616952	OTHER	NY	MANGA CARE
8	570069	OTHER	OH	VALUE OPTIONS
9	R044004	OTHER		AETNA

General Provider Information

NPI Number	:	1497859599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VASUDEVA CHIKKATUR MURTHY LCSWR LCSW

Provider Business Mailing Address
First Line	:	25403 84TH DRIVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-1009
Country	:	US
Telephone Number	:	516-209-4843
Fax Number	:	801-708-0844

Provider Business Practice Location Address
First Line	:	38 W 32ND ST STE 1511
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-3875
Country	:	US
Telephone Number	:	917-215-2169
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	06/11/2020

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Directions to “ MR. VASUDEVA CHIKKATUR MURTHY LCSWR LCSW” Practice Location

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