Victoria Michalek, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

007931 Issued in CT

Legal business name

VICTORIA MICHALEK, LLC

Doing business as

Victoria Michalek, LLC

Practice address

14 Depot PL FL 1
Bethel, CT 06801-2540

Phone

(475) 289-4824

Fax

(475) 282-3442

NPI assigned

Nov 15, 2017

Organization subpart

No

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

Authorized official

Name

Victoria Michalek, LCSWNPI 1396001707

Title

Owner

Phone

(203) 648-2886

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Victoria Michalek, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Fern Michalek, LCSW

  • Clinical Social Worker
  • Bethel, CT
  • NPI 1396001707
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1841703634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MIDDLE RIVER RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114339",
            "telephone_number": "203-648-2886",
            "fax_number": "475-282-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEPOT PL FL 1",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012540",
            "telephone_number": "475-289-4824",
            "fax_number": "475-282-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA MICHALEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "MICHALEK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-648-2886",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "007931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D300245896",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victoria Michalek, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Tran, LPC
• Tranquility Wellness
• Turning Point Medical
• Frans Johannes Van Vliet, MS PT
• Daniela Vega, MS, RD, CD-N
• Village Square Internal Medicine PC
• Walgreen Co (Rite Aid #19507)
• Glaubia Almeida Weaver, NP
• Robert Lawrence Wenick, M.D.
• Kimberly Wentz, DPT

• Community/Behavioral Health Agency in Bethel, CT
• Providers in Bethel, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.