Viemed Clinical Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VIEMED CLINICAL SERVICES, LLC

Practice address

2415 Sand Lake Rd
Orlando, FL 32809-7699

Phone

(833) 452-0220

Fax

(800) 398-9547

NPI assigned

Jan 12, 2022

Organization subpart

Yes

Parent organization

VIEMED, INC.As reported in NPPES

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

Authorized official

Name

Ryan Sullivan

Title

Executive VP

Phone

(337) 504-3802

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Lafayette, LA
  • NPI 1235759275

  9830501543

  Same PAC ID
• Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1528648227

  9830501543

  Same PAC ID
• Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Archer Lodge, NC
  • NPI 1558194985

  9830501543

  Same PAC ID
• Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Mount Pleasant, SC
  • NPI 1811629629

  9830501543

  Same PAC ID

Locations

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1194476192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E KALISTE SALOOM RD STE 400-N",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082540",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SAND LAKE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097699",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEMED CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIEMED, INC.",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "337-504-3802"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therese Marie Vidal, MD
• Andrija Vidic, D.O
• Evelyn Giselle Vidot Contreras
• Melany Vidret
• Brandon Vieira, MA, LMHC
• Elena Viera Rivera, LMSW
• Gabriela Viera Rodriguez
• Thalia Viera Rodriguez
• Olga Marina Viera, PSY.D., LMHC
• Tisela M Viera, LCSW

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, 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 Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.