Individual provider Active NPI

Victoria Fern Michalek, LCSW

  • Clinical Social Worker
  • Bethel, CT
National Provider Identifier
1396001707
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007931 Issued in CT
Practice address
7 School St
Suite 3B
Bethel, CT 06801-1855
Phone
(203) 648-2886
NPI assigned
Apr 10, 2012
Last updated
Sep 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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 007931 CT Primary

Addresses

Primary practice location

7 School St
Suite 3B
Bethel, CT 06801-1855

Mailing address

7 School St
Suite 3B
Bethel, CT 06801-1855
Phone (203) 648-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20150929002268 CT Practitioner - Clinical Social Worker 1052629722 Reassigns benefits to 1 organization
Practice locations: Bethel, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Depot PL
FL 1
Bethel, CT 06801-2540
Phone (203) 648-2886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007931CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Michalek, LLC CurrentSince Aug 19, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1396001707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SCHOOL ST",
            "address_2": "SUITE 3B",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011855",
            "telephone_number": "203-648-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SCHOOL ST",
            "address_2": "SUITE 3B",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011855",
            "telephone_number": "203-648-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALEK",
        "first_name": "VICTORIA",
        "middle_name": "FERN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

Verify at the official NPI Registry.