Victoria Ann Fackos, LICSW, LCDCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ISW00369 Issued in RI

Practice address

Robert a Walker and Associates, Counseling and Consulti
1087 Warwick Ave Rear Unit
Warwick, RI 02888-3545

Phone

(401) 383-2200

Fax

(401) 256-5209

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 1, 2020 through Jun 1, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1922120914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROBERT A WALKER AND ASSOCIATES, COUNSELING AND CONSULTI",
            "address_2": "1087 WARWICK AVE REAR UNIT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883545",
            "telephone_number": "401-383-2200",
            "fax_number": "401-256-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROBERT A WALKER AND ASSOCIATES, COUNSELING AND CONSULTI",
            "address_2": "1087 WARWICK AVE REAR UNIT",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883545",
            "telephone_number": "401-383-2200",
            "fax_number": "401-256-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKOS",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW, LCDCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "ISW00369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Warwick, RI
• Providers in Warwick, RI by specialty
• Addiction (Substance Use Disorder) Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.