Olga Victor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P047257 Issued in NY

Practice address

2780 Reservoir Ave
Bronx, NY 10468-2702

Phone

(718) 329-8589

Fax

(718) 562-4357

NPI assigned

Jan 27, 2010

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY, NJ2 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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Harlem Council for Human Services Inc

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1467486449
  Medicare reassignment NPD
• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693
  Medicare reassignment
• East Harlem Council for Human Services Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1124530084
  NPD

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1942531272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 EAST DR",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491211",
            "telephone_number": "201-967-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 RESERVOIR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104682702",
            "telephone_number": "718-329-8589",
            "fax_number": "718-562-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "OLGA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P047257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Michelle Vicil, M.D.
• Angela K Vick, MD
• Doreen Pangandoyon Vicoy
• Victor Felipe Therapeutic Services, LLC
• Leilani Marie Victor, LCAT
• Pureza Victor, PA-C
• Sharisse Danielle Victor, DPM
• Victoria RX Inc
• Juana Victoria, LMSW
• Victory NP in Psychiatry, PC

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.