William Jason Vejcik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13794 Issued in FL

Practice address

855 Central Ave Unit 1114
St Petersburg, FL 33701-3684

Phone

(313) 400-7875

NPI assigned

Aug 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Self Improvement Services LLC

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1760965131
  NPD Authorized official

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013265420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CENTRAL AVE UNIT 1114",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013684",
            "telephone_number": "313-400-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CENTRAL AVE UNIT 1114",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013684",
            "telephone_number": "313-400-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEJCIK",
        "first_name": "WILLIAM",
        "middle_name": "JASON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092479",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen A Vaughn, ARNP
• Roland Vaughn
• Sara Jo Vaughn
• Vein Institute of Pinellas LLC
• Veingo Mobile LLC
• Velarosa Personal Care Services LLC
• Lisa Ann Velasquez, M.D.
• Sherrilyn Velez, ARNP
• Richard Vellucci, PHARMD
• Venado Emergency Physicians LLC

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.