Victoria Sullivan, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R075421-1 Issued in NY

Practice address

677 State Route 17M
Monroe, NY 10950-3318

Phone

(845) 618-5242

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Fordham University School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Victoria Ann Sullivan LCSW PLLC

  • Social Worker
  • Monroe, NY
  • NPI 1275179764
  Medicare reassignment NPD Authorized official
• Michele Winchester-Vega LCSW PLLC

  dba Dr. Michele Winchester-Vega & Associates

  • Clinical Social Worker
  • New Windsor, NY
  • NPI 1831429414
  Medicare reassignment NPD
• Access: Supports for Living Inc

  • Multi-Specialty Clinic/Center
  • Middletown, NY
  • NPI 1528174976
  NPD (past)
• Access: Supports for Living Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Middletown, NY
  • NPI 1790326320
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1750400677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CAROL DR",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109505210",
            "telephone_number": "845-618-5242",
            "fax_number": "877-224-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 STATE ROUTE 17M",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503318",
            "telephone_number": "845-618-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R075421-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04325182",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Straka, LPN
• Avraham Mendy Strohli, LMSW
• Pessi Stuhl
• Jessica C Sullivan, LCSW-R
• Justin Sullivan, DPT
• Margaret G Summers, RN
• Sunrise Mental Health Counseling, PLLC
• Sunshine Applied Behavior Analysis PLLC
• Supportive Space Mental Health Counseling PLLC
• Sheila Sutton, RN

• Social Worker in Monroe, NY
• Providers in Monroe, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.