Individual provider Active NPI

Victoria K Kijanski, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1417059668
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6440 Issued in FL
Practice address
205 S Macdill Ave
Suite a
Tampa, FL 33609-3130
Phone
(813) 767-7426
Fax
(813) 531-6563
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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 SW6440 FL Primary

Addresses

Primary practice location

205 S Macdill Ave
Suite a
Tampa, FL 33609-3130

Mailing address

205 S Macdill Ave
Suite a
Tampa, FL 33609-3130
Phone (813) 767-7426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040902001017 FL Practitioner - Clinical Social Worker 4082680863 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vicky Kijanski, LCSW, L.L.C. Clinical CurrentSince Dec 7, 2025 Accepting new patients
Baycare Behavioral Health Centers, Inc Past Accepting new patients
Trillium Medical Group of Florida Past Accepting new patients

Locations

205 S Macdill Ave
Ste A
Tampa, FL 33609
Phone (813) 767-7426

Networks

  • Freedom Health HMO Network

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1417059668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MACDILL AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093130",
            "telephone_number": "813-767-7426",
            "fax_number": "813-531-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MACDILL AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093130",
            "telephone_number": "813-767-7426",
            "fax_number": "813-531-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIJANSKI",
        "first_name": "VICTORIA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.