Victoria Jean Tellez, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1180 Issued in WY

Practice address

565 Brookie Path
Sheridan, WY 82801-8921

Phone

(307) 752-7537

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Big Horn Psychological Services LC

  • Clinical Psychologist
  • Sheridan, WY
  • NPI 1336473859
  NPD (past)
• Lisa McDuffie Psychiatry LLC

  • Psychiatry Physician
  • Sheridan, WY
  • NPI 1235887902
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1922333236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 LONG DR STE A",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013282",
            "telephone_number": "307-675-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BROOKIE PATH",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018921",
            "telephone_number": "307-752-7537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Long Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828013282",
            "country_code": "US",
            "telephone_number": "307-675-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "VICTORIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "WY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Taylor
• Linnae Taylor, LCSW
• McKinzie Taylor
• Patricia J Taylor, PHARMD
• William Byron Taylor III, M.D.
• Stephen Scott Tenney, MD
• Dale Clifton Thames Jr., DMD
• Amie Ann Thayer, P.T.A.
• The Eric Group Behavioral Health LLC
• The Fulfilled Fork, LLC

• Clinical Social Worker in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.