Active NPI
Victoria Sulyans, MSW
- Social Worker
- Fredericksburg, VA
National Provider Identifier
1891412441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 307 Lafayette Blvd Ste 202
Fredericksburg, VA 22401-6079 - Phone
- (843) 622-7146
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
307 Lafayette Blvd Ste 202
Fredericksburg, VA 22401-6079
Mailing address
210 Perth Dr
Fredericksburg, VA 22405-2899
Phone (843) 622-7146
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | victoria@youthlifeservices.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 1
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": "1666656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666656000000",
"number": "1891412441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PERTH DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224052899",
"telephone_number": "843-622-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 LAFAYETTE BLVD STE 202",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224016079",
"telephone_number": "843-622-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULYANS",
"first_name": "VICTORIA",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-25",
"last_updated": "2022-10-25",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "victoria@youthlifeservices.com",
"affiliation": "N",
"address_1": "307 Lafayette Blvd Ste 202",
"city": "Fredericksburg",
"state": "VA",
"country_code": "US",
"postal_code": "224016079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.