Individual provider Active NPI

Victoria Sulyans, MSW

  • Social Worker
  • Fredericksburg, VA
National Provider Identifier
1891412441
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL victoria@youthlifeservices.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240601000384 DC Practitioner - Clinical Social Worker 0840732145 Reassigns benefits to 1 organization
I20250801000421 MA Practitioner - Clinical Social Worker 0840732145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince May 3, 2024 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

Verify at the official NPI Registry.