Victoria Boateng, DHA, LCSWR, M-CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087995

Practice address

838 Pelhamdale Ave # Q
New Rochelle, NY 10801-1032

Phone

(914) 316-4684

Fax

(914) 933-8860

NPI assigned

May 19, 2016

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

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Spinal Pain and Rehab Medical PCGroup PAC ID 3375600109, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• Pathway Connect LCSW, PLLC

  • Clinical Social Worker
  • New Rochelle, NY
  • NPI 1861273724

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Spinal Pain & Rehab Medical, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Yonkers, NY
  • NPI 1336343219
  Medicare reassignment Care Compare group NPD
• Doctors United, Inc

  • Special Hospital
  • White Plains, NY
  • NPI 1508979162
  Medicare reassignment NPD

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1972950855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE # Q",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011032",
            "telephone_number": "914-316-4684",
            "fax_number": "914-933-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PELHAMDALE AVE # Q",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011032",
            "telephone_number": "914-316-4684",
            "fax_number": "914-933-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATENG",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DHA, LCSWR, M-CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "24814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "087995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Blackwell, LMSW, CASAC-T
• Aniki Makeba Blake
• Melvyn S Bleiberg, MD
• David A Blum, MD
• Joanna Blumenthal, OT
• Bret Boatwright, PSYD, LLP
• Gail F.M. Bochow, RNC NP
• Franklin Leslie Bocian, M.D.
• Richard Grant Boddie, CSW
• John J Bonamo, M.D.

• Clinical Social Worker in New Rochelle, NY
• Providers in New Rochelle, 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 Oct 6, 2023; 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.