Individual provider Active NPI

Victoria Ann Harwood, LCSW, CAP

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1902875008
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0002856 Issued in FL
Practice address
1900 S Harbor City Blvd
Ste 216
Melbourne, FL 32901-4749
Phone
(321) 409-9191
Fax
(321) 409-9191
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW0002856 FL Primary

Addresses

Primary practice location

1900 S Harbor City Blvd
Ste 216
Melbourne, FL 32901-4749

Mailing address

438 Myrtlewood Rd
Melbourne, FL 32940-7734
Phone (321) 409-9191

Other identifiers 3

IdentifierTypeStateIssuer
U04762015OtherFLCIGNA PROVIDER #
070354OtherFLVALUE OPTIONS PROVIDER #
255651000OtherFLMBHC MIS#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW0002856FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1902875008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 MYRTLEWOOD RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407734",
            "telephone_number": "321-409-9191",
            "fax_number": "321-409-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S HARBOR CITY BLVD",
            "address_2": "STE 216",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014749",
            "telephone_number": "321-409-9191",
            "fax_number": "321-409-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0002856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "U04762015",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER #",
            "identifier": "070354",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHC MIS#",
            "identifier": "255651000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.