Individual provider Active NPI

Victor Alfonso Cabral, LCSW

  • Clinical Social Worker
  • Wyomissing, PA
National Provider Identifier
1164073326
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025970 Issued in PA
Practice address
1105 Berkshire Blvd Ofc 110
Wyomissing, PA 19610-1248
Phone
(610) 374-4963
NPI assigned
Sep 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW025970 PA Primary

Addresses

Primary practice location

1105 Berkshire Blvd Ofc 110
Wyomissing, PA 19610-1248

Mailing address

4512 Bolton Notch PL
Harrisburg, PA 17110-3414
Phone (717) 400-1871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250703003340 PA Practitioner - Clinical Social Worker 7911411731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Guidance Center 22 clinicians

Practice addresses (Care Compare)

1105 Berkshire Blvd
Ofc 110
Wyomissing, PA 19610-1249
Phone (610) 374-4963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW025970PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center Single Specialty CurrentSince May 21, 2025 Accepting new patients
Purposefully Soaring Counseling Services LLC Single Specialty CurrentSince Sep 29, 2019 Accepting new patients
Dreamers of the Day LLC Current Accepting new patients

Locations

5137 Devonshire Rd
Ste G
Harrisburg, PA 17112

1105 Berkshire Blvd
Ofc 110
Wyomissing, PA 19610
Phone (610) 374-4963

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1164073326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4512 BOLTON NOTCH PL",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171103414",
            "telephone_number": "717-400-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BERKSHIRE BLVD OFC 110",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101248",
            "telephone_number": "610-374-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "VICTOR",
        "middle_name": "ALFONSO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.