Active NPI
Sylvia Louise Vickers, LCSW
- Clinical Social Worker
- Port Saint Lucie, FL
National Provider Identifier
1730610783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10985
- Practice address
- 6668 S Federal Hwy # 1
Port Saint Lucie, FL 34952-1422 - Phone
- (772) 342-1539
- NPI assigned
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW10985 | FL | Primary |
Addresses
Primary practice location
6668 S Federal Hwy # 1
Port Saint Lucie, FL 34952-1422
Mailing address
6668 S Federal Hwy # 1
Port Saint Lucie, FL 34952-1422
Phone (772) 342-1539
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW10985 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1730610783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6668 S FEDERAL HWY # 1",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349521422",
"telephone_number": "772-342-1539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6668 S FEDERAL HWY # 1",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349521422",
"telephone_number": "772-342-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "SYLVIA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.