Individual provider Active NPI

Yannina Calloipe Varvitsiotes, SOCILA WORLER

  • Clinical Social Worker
  • Coconut Creek, FL
National Provider Identifier
1417177692
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R071830-01 Issued in NY
Practice address
4161 Coral Tree Cir Apt 167
Coconut Creek, FL 33073-4469
Phone
(917) 287-5236
NPI assigned
Apr 27, 2007
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 058557-1 NY
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R071830-01 NY Primary

Addresses

Primary practice location

4161 Coral Tree Cir Apt 167
Coconut Creek, FL 33073-4469

Mailing address

4161 Coral Tree Cir Apt 167
Coconut Creek, FL 33073-4469
Phone (917) 287-5236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
058557-1NYMDSocial Worker
R071830-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1417177692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 CORAL TREE CIR APT 167",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734469",
            "telephone_number": "917-287-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 CORAL TREE CIR APT 167",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734469",
            "telephone_number": "917-287-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARVITSIOTES",
        "first_name": "YANNINA",
        "middle_name": "CALLOIPE",
        "name_prefix": "Ms.",
        "credential": "SOCILA WORLER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "058557-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R071830-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.