Individual provider Active NPI

Victoria Lynn Hertlein, LCSW

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1881924223
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083001 Issued in NY
Practice address
150 Huguenot St
New Rochelle, NY 10801-5204
Phone
(914) 613-0700
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 077726-1 NY
Clinical Social Worker 1041C0700X 083001 NY Primary

Addresses

Primary practice location

150 Huguenot St
New Rochelle, NY 10801-5204

Mailing address

256 Washington St
Mount Vernon, NY 10553-1052
Phone (914) 613-0700

Other practice location 1

1 Ardell Rd
Bronxville, NY 10708-6501
Phone (914) 636-4440

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210430000481 NY Practitioner - Clinical Social Worker 7315356490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Guidance Center of Westchester, IncGroup PAC ID 8325939432, 11 clinicians

Practice addresses (Care Compare)

256 Washington St
Suite 2
Mount Vernon, NY 10553-1056
Phone 91461307003338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077726-1NYMDSocial Worker
083001NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center of Westchester CurrentSince May 16, 2021 Accepting new patients
The Guidance Center of Westchester, Inc CurrentSince Jan 27, 2021 Accepting new patients

Locations

256 Washington St
Mount Vernon, NY 10553
Phone (914) 297-3356

256 Washington St
Ste 2
Mount Vernon, NY 10553
Phone 91461307003338

150 Huguenot St
New Rochelle, NY 10801
Phone (914) 297-3495

70 Grand St
New Rochelle, NY 10801
Phone (914) 636-4440

20 Sickles Ave
New Rochelle, NY 10801
Phone (914) 632-1374

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1881924223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 WASHINGTON ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531052",
            "telephone_number": "914-613-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HUGUENOT ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015204",
            "telephone_number": "914-613-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Ardell Rd",
            "address_purpose": "LOCATION",
            "city": "Bronxville",
            "state": "NY",
            "postal_code": "107086501",
            "country_code": "US",
            "telephone_number": "914-636-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERTLEIN",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077726-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.