Individual provider Active NPI

Emily Vicik, LMSW

  • Social Worker
  • Cheektowaga, NY
National Provider Identifier
1972196954
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3901 Genesee St Ste 110
Cheektowaga, NY 14225-1954
Phone
(716) 842-2750
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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 NY Primary

Addresses

Primary practice location

3901 Genesee St Ste 110
Cheektowaga, NY 14225-1954

Mailing address

3901 Genesee St Ste 110
Cheektowaga, NY 14225-1954

Other names 1

  • Ms. Tess Vicik Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240129003708 NY Practitioner - Clinical Social Worker 7719330463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Child and Family Services of Erie CountyGroup PAC ID 0143286328, 14 clinicians

Practice addresses (Care Compare)

3901 Genesee St
Suite 110
Cheektowaga, NY 14225-1954
Phone (716) 842-2750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Services of Erie County CurrentSince Jan 1, 2024 Accepting new patients

Locations

330 Delaware Ave
Buffalo, NY 14202
Phone (716) 335-7058

3901 Genesee St
Ste 110
Cheektowaga, NY 14225
Phone (716) 335-7167

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": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1972196954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 GENESEE ST STE 110",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GENESEE ST STE 110",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251954",
            "telephone_number": "716-842-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICIK",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESS",
            "last_name": "VICIK",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.