Individual provider Active NPI

Victoria Elizabeth Conner

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1114689569
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121217 Issued in MI
Practice address
348 McLaws Cir Ste 3
Williamsburg, VA 23185-6349
Phone
(757) 603-4603
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801121217 MI Primary
Clinical Social Worker 1041C0700X 0904020514 VA

Addresses

Primary practice location

348 McLaws Cir Ste 3
Williamsburg, VA 23185-6349

Mailing address

5248 Olde Towne Rd Ste 10
Williamsburg, VA 23188-1986
Phone (757) 603-4603

Other practice location 1

103 E Grace St
Richmond, VA 23219-1741
Phone (804) 257-7226

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Partners, LLC Clinical CurrentSince Nov 26, 2023 Accepting new patients
Counseling Center of West Michigan, LLC PastSince Jul 30, 2021 Accepting new patients
Jack a Dekkinga MD PC Past Accepting new patients
Abundant Path LLC Clinical PastSince Sep 28, 2025 Accepting new patients

Locations

5248 Olde Towne Rd
Ste 10
Williamsburg, VA 23188

348 McLaws Cir
Ste 3
Williamsburg, VA 23185

1315 Jamestown Rd
Ste 203
Williamsburg, VA 23185

Organizations & group practices 4

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1114689569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 OLDE TOWNE RD STE 10",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881986",
            "telephone_number": "757-603-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MCLAWS CIR STE 3",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856349",
            "telephone_number": "757-603-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191741",
            "country_code": "US",
            "telephone_number": "804-257-7226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "VICTORIA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121217",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904020514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.