Victoria Victorenko, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

150103131 Issued in IL

Practice address

20W406 Camder Dr
Downers Grove, IL 60516-7112

Phone

(630) 696-1112

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wild Grace Psychotherapy, PLLC

  • Clinical Social Worker
  • Downers Grove, IL
  • NPI 1558163626
  NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1497568380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 CURTISS ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155900",
            "telephone_number": "630-696-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20W406 CAMDER DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605167112",
            "telephone_number": "630-696-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORENKO",
        "first_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "150103131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Vergara, LCSW
• Lori Dee Vernor, DC
• Kathleen Marie Vest, PHARMD
• Myra Francisco Vicenio, M.D.
• Jessica E Vickery, MS OTR/L
• Margaret Ann Viggiano, PT
• Kristin Marie Vignaroli
• Village of Downers Grove
• Vipal K Arora MD SC
• Isabelle C Vishnesky

• Clinical Social Worker in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.