Vicalex Behavioral Health PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

VICALEX BEHAVIORAL HEALTH PA

Practice address

9040 Town Center Pkwy
Lakewood Ranch, FL 34202-4101

Phone

(845) 364-9226

Fax

(845) 512-5244

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Claudia Olave-Guillermo, LCSW-RNPI 1568463255

Title

Owner

Phone

(845) 364-9226

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudia Janeth Olave-Guillermo, LMSW

  • Clinical Social Worker
  • Lakewood Ranch, FL
  • NPI 1568463255
  NPD Authorized official

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661644800000",
    "number": "1841943099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "845-364-9226",
            "fax_number": "845-512-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 TOWN CENTER PKWY",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342024101",
            "telephone_number": "845-364-9226",
            "fax_number": "845-512-5244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N.",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "33702",
            "country_code": "US",
            "telephone_number": "845-364-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICALEX BEHAVIORAL HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "OLAVE-GUILLERMO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-364-9226",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Steven Varone, MD
• Ashley Christina Vaughan, M.S.
• Kaitlin Elizabeth Vaughn, PA
• Lynn a. Ventola, PHD, MSN, ARNP
• Viajourney Telehealth LLC
• Alexia S Viglione
• Melissa Vilar, MD
• Jonathan Villasmil
• Raffaela M a Villella, DC
• Christopher Vinagre

• Clinical Social Worker in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.