Individual provider Active NPI

Victoria Ann Smith, LCSW

  • Clinical Social Worker
  • Red Bank, NJ
National Provider Identifier
1740899566
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05926500 Issued in NJ
Practice address
41 Reckless PL
Red Bank, NJ 07701-1703
Phone
(732) 530-9330
Fax
(732) 455-9596
NPI assigned
Jul 28, 2020
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 44SC05926500 NJ Primary

Addresses

Primary practice location

41 Reckless PL
Red Bank, NJ 07701-1703

Mailing address

10 Frances St
Shrewsbury, NJ 07702-4006
Phone (908) 601-7416

Other practice location 1

115 Dutch Lane Rd
Freehold, NJ 07728-5500
Phone (908) 601-7416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200922000458 NJ Practitioner - Clinical Social Worker 8123446242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joshua R Cohen PHDGroup PAC ID 3577845130, 3 clinicians

Practice addresses (Care Compare)

1000 Sanger Ave
Suite 17
Oceanport, NJ 07757-1241
Phone (732) 200-2570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05926500NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua R Cohen PHD Clinical CurrentSince Feb 1, 2021 Accepting new patients
Supportive Care Psychology of NJ PC CurrentSince Sep 10, 2020 Accepting new patients

Locations

18 Butler Blvd
Bayville, NJ 08721
Phone (732) 237-2220

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1000 Sanger Ave
#17
Oceanport, NJ 07757
Phone (732) 200-2570

1000 Sanger Ave
Ste 17
Oceanport, NJ 07757
Phone (732) 200-2570

560 Berkeley Ave
Orange, NJ 07050
Phone (973) 672-6500

41 Reckless Pl
Red Bank, NJ 07701
Phone (732) 530-9330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1740899566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FRANCES ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024006",
            "telephone_number": "908-601-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 RECKLESS PL",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011703",
            "telephone_number": "732-530-9330",
            "fax_number": "732-455-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Dutch Lane Rd",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077285500",
            "country_code": "US",
            "telephone_number": "908-601-7416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05926500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.