Individual provider Active NPI

Victoria Abruzzo, LCSW

  • Social Worker
  • Broolyn, NY
National Provider Identifier
1114401585
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098052 Issued in NY
Practice address
470 Clarkson Avenue
Suite D
Broolyn, NY 11203
Phone
(718) 270-4445
NPI assigned
Sep 20, 2018
Last updated
Nov 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 098052 NY Primary

Addresses

Primary practice location

470 Clarkson Avenue
Suite D
Broolyn, NY 11203

Mailing address

78 Westminster Rd
West Hempstead, NY 11552-1618
Phone (187) 490-6154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929000743 NY Practitioner - Clinical Social Worker 0345669164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098052NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.C. Social Worker CurrentSince Aug 13, 2020 Accepting new patients

Locations

134 N 4th St
Brooklyn, NY 11249

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1114401585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 WESTMINSTER RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521618",
            "telephone_number": "187-490-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CLARKSON AVENUE",
            "address_2": "SUITE D",
            "city": "BROOLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-270-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRUZZO",
        "first_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broolyn, NY

Sources for this page

Verify at the official NPI Registry.