Individual provider Active NPI

Vivian Zadkovich, MSW, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1265707731
Registry record updated Mar 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8879 Issued in FL
Practice address
8302 Boca Glades Blvd E
Boca Raton, FL 33434-4029
Phone
(561) 702-0888
NPI assigned
Mar 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW8879 FL Primary

Addresses

Primary practice location

8302 Boca Glades Blvd E
Boca Raton, FL 33434-4029

Mailing address

8302 Boca Glades Blvd E
Boca Raton, FL 33434-4029
Phone (561) 702-0888

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1331942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331942400000",
    "number": "1265707731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 BOCA GLADES BLVD E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344029",
            "telephone_number": "561-702-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 BOCA GLADES BLVD E",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344029",
            "telephone_number": "561-702-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADKOVICH",
        "first_name": "VIVIAN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-17",
        "last_updated": "2012-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.