Individual provider Active NPI

Victoria M Penzel, L.C.S.W.

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1023020773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R021331-1 Issued in NY
Practice address
175 Lawrence Ave
Brooklyn, NY 11230-1102
Phone
(718) 436-7600
Fax
(718) 436-8101
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R021331-1 NY Primary

Addresses

Primary practice location

175 Lawrence Ave
Brooklyn, NY 11230-1102

Mailing address

1385 Broadway Apt A30
Hewlett, NY 11557-1365
Phone (516) 569-1747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R021331-1NYMDClinical Social Worker
021331NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023020773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 BROADWAY APT A30",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571365",
            "telephone_number": "516-569-1747",
            "fax_number": "718-436-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LAWRENCE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301102",
            "telephone_number": "718-436-7600",
            "fax_number": "718-436-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZEL",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R021331-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.