Victoria Lynn Wasulko

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004951 Issued in NC

Practice address

10204 Bode St Ste B
Plainfield, IL 60585-9813

Phone

(855) 241-7160

NPI assigned

Dec 12, 2019

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

Enrolled in NC

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BMSC NC LLCGroup PAC ID 9739445552, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• BMSC NC LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1831611649

  NC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1518505239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7318 STONEHAVEN DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737380",
            "telephone_number": "704-641-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 BODE ST STE B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859813",
            "telephone_number": "855-241-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASULKO",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Robert Wanderling, MD
• Star Ware
• Fiona Marie Warren-Doherty
• Michael Andrew Wasilewski, LCSW
• Alexandra Nicole Wasko, OTD, OTR/L
• Julie Wattenberg- Crawford, M.P.T., D.P.T.
• Way to Grow Nutrition Therapy, LLC
• Jennifer Lynn Webb, D.O.
• Nicole A Weilandt
• Christopher Welch

• Clinical Social Worker in Plainfield, IL
• Providers in Plainfield, 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 Dec 12, 2019; 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.