Vanessa A. Sovyrda, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05665700 Issued in NJ

Practice address

63 Beaverbrook Rd Ste 102
Lincoln Park, NJ 07035-1440

Phone

(973) 696-0800

NPI assigned

Mar 31, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Boykewich Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment Care Compare group NPD
• Sakowitz Counseling PA

  • Clinical Psychologist
  • Lincoln Park, NJ
  • NPI 1700949740
  NPD (past)

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1306342241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BEAVERBROOK RD STE 102",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351440",
            "telephone_number": "973-696-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BEAVERBROOK RD STE 102",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351440",
            "telephone_number": "973-696-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVYRDA",
        "first_name": "VANESSA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05665700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BOYKEWICH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristy Schmidt, L.C.S.W.
• Shoprite of Lincoln Park Inc (Shoprite Pharmacy 297)
• Melissa Siegel, MSOTR
• Erica Slota, LPC
• Mary Ruth Smith, LCSW
• Speedest LLC
• Kayla Stammer, MD
• Jovanka Stojanovski
• Sunny Side Speech
• Susan a Fishlock LCSW PA

• Clinical Social Worker in Lincoln Park, NJ
• Providers in Lincoln Park, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.