Individual provider Active NPI

Victoria McDougald, MSW, LCSW

  • Clinical Social Worker
  • Farmville, NC
National Provider Identifier
1306091905
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014470 Issued in PA
Practice address
3707 N Main St Ste C
Farmville, NC 27828-1485
Phone
(252) 228-9595
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05201400 NJ
Clinical Social Worker 1041C0700X CW014470 PA Primary
Clinical Social Worker 1041C0700X C015432 NC

Addresses

Primary practice location

3707 N Main St Ste C
Farmville, NC 27828-1485

Mailing address

PO Box 313
Farmville, NC 27828-0313
Phone (252) 228-9595

Other practice location 1

1400 Hooper Ave
Toms River, NJ 08753-2981
Phone (415) 424-4266

Other practice location 2

123 S Broad St
Philadelphia, PA 19109-1029
Phone (415) 424-4266

Other practice location 3

101 N Tryon St Ste 600
Charlotte, NC 28246-0100
Phone (415) 424-4266

Other identifiers 1

IdentifierTypeStateIssuer
0162221MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230811002503 NC Practitioner - Clinical Social Worker 7315105889 Reassigns benefits to 1 organization
I20260421003908 ME Practitioner - Clinical Social Worker 7315105889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

30 Houlton St
Patten, ME 04765-3035
Phone (207) 528-2285

33 Walker St
Ashland, ME 04732-3429
Phone (207) 528-2285

50 Summer St
Millinocket, ME 04462-1400
Phone (207) 528-2285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015432NCMDClinical Social Worker
44SC05201400NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare Solutions Inc Clinical PastSince Jan 1, 2008 Accepting new patients

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1306091905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278280313",
            "telephone_number": "252-228-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N MAIN ST STE C",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281485",
            "telephone_number": "252-228-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Hooper Ave",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087532981",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191091029",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Tryon St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282460100",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOUGALD",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05201400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014470",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162221",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, NC

Sources for this page

Verify at the official NPI Registry.