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MRS. GRACE ANN REYNOLDS VICTOR LCSW
NPI 1104102334
Social Worker - School in Centereach, NY

Active since November 02, 2011
28 WOOD RD, CENTEREACH, NY 11720(631) 471-6400 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Grace Ann Reynolds Victor Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRACE ANN REYNOLDS VICTOR LCSW (NPI 1104102334) is an individual school provider in Centereach, New York, licensed in New York (R080813-1) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1104102334
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NameMRS. GRACE ANN REYNOLDS VICTORCredential: LCSW
Location Address28 WOOD RDCentereach, NY 11720-1620
Mailing Address28 Wood RdCentereach, NY 11720-1620 · (631) 471-6400
Phone(631) 471-6400
Sole ProprietorNo
Enumeration DateNovember 2, 2011
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1104102334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NY · R080813-1
28 WOOD RD, Centereach, NY 11720
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Reynolds Victor's NPI number?

The NPI number for Grace Reynolds Victor is 1104102334. It was assigned to this individual provider in the NPPES registry on November 2, 2011.

Where is Grace Reynolds Victor located?

Grace Reynolds Victor practices at 28 Wood Rd, Centereach, NY 11720. The listed phone number is (631) 471-6400.

What is Grace Reynolds Victor's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Grace Reynolds Victor was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.