Viktoriya L Anthony
Individual provider Active NPI Social Worker · Brooklyn, NY
NPI 1245952902 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1245952902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- P117714 (NY)
- Practice address
- 4051 Atlantic Ave
Brooklyn, NY 11224-1289 - Phone
- (917) 941-5446
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P117714 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P117714 | NY | |
| Social Worker | 104100000X | P117714 | NY | Yes |
Addresses
Primary practice location
4051 Atlantic Ave
Brooklyn, NY 11224-1289
Mailing address
2020 Coney Island Ave
Brooklyn, NY 11223-2329
Phone (917) 941-5446
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.