Victoria Jeanne Braddock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103728 Issued in CA

Practice address

805 S Beadle St
Papillion, NE 68046-2755

Phone

(530) 417-7977

NPI assigned

Apr 8, 2020

Last updated

Jun 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Victoria Jeanne Dzorka Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alegent Creighton HealthGroup PAC ID 1850285255, 137 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alegent Creighton Health

  dba CHI Health Psychiatric Associates

  • Psychiatry Physician
  • Council Bluffs, IA
  • NPI 1770922437

  Clinical

  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  IA

  Medicare reassignment
• Alegent Creighton Health

  dba CHI Health

  • Community/Retail Pharmacy
  • Lincoln, NE
  • NPI 1598423220
  NPD
• Santa Cruz Community Health Centers

  dba Santa Cruz Women's Health Center

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1902923329

  Clinical

  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1487273645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S BEADLE ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462755",
            "telephone_number": "530-417-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S BEADLE ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462755",
            "telephone_number": "530-417-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "VICTORIA",
        "middle_name": "JEANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW85165",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "DZORKA",
            "middle_name": "JEANNE",
            "credential": "ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katrina Boyce
• Sydney Boyce
• Karen Ilene Boyd
• Aaron Boykin
• Sarah Boykin
• Stacy Lynn Brant
• Justin Joseph Brazda, D.C.
• Rachel Breitkreutz
• Melissa D Brestel, LIMHP, LCSW
• Cheryl L Brewer, M.A. LMHP

• Clinical Social Worker in Papillion, NE
• Providers in Papillion, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.