Visnavy Vickneswaran, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP100676 Issued in MA

Practice address

49 Hill St
Malden, MA 02148-1639

Phone

(781) 350-8033

NPI assigned

May 4, 2026

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1346187697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HILL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HILL ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021481639",
            "telephone_number": "781-350-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKNESWARAN",
        "first_name": "VISNAVY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SLP100676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "SLP100676",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linh Thi Van
• Latia Danielle Vanloan
• Angela Nicole Venini, B.S.
• Hannah Verastique
• Tamires Bertoldo Viana
• Rebecca Victor
• Christine Joy Villa, RN
• Flor de Maria Villanueva Hernandez
• Jose Santiago Villanueva, M.D.
• Hernan H Villarroel, MA

• Speech-Language Pathologist in Malden, MA
• Providers in Malden, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.