Individual provider Active NPI

Nancy Jeanne Virostko, L.C.S.W

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1427209899
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19191 Issued in CA
Practice address
125 Pennsylvania Ave
Santa Cruz, CA 95062-2427
Phone
(831) 429-5740
Fax
(831) 429-5740
NPI assigned
Oct 3, 2008
Last updated
Oct 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 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 LCS19191 CA Primary

Addresses

Primary practice location

125 Pennsylvania Ave
Santa Cruz, CA 95062-2427

Mailing address

125 Pennsylvania Ave
Santa Cruz, CA 95062-2427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160901001033 CA Practitioner - Clinical Social Worker 7911293840 Practice locations: Santa Cruz, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Front St
Suite 250
Santa Cruz, CA 95060-4537
Phone (831) 429-5740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS19191CAMDClinical Social Worker
19191CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1427209899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PENNSYLVANIA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PENNSYLVANIA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622427",
            "telephone_number": "831-429-5740",
            "fax_number": "831-429-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIROSTKO",
        "first_name": "NANCY",
        "middle_name": "JEANNE",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.