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VICTORIA FLORENCE PETHERICK LCSW
NPI 1235750886
Social Worker - Clinical in Salamanca, NY

Active since May 05, 2020PECOS Enrolled
987 R C HOAG DR, SALAMANCA, NY 14779(716) 945-5894(716) 242-6345 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2022, May 5, 2020 (2 updates tracked since 2020).

About Victoria Florence Petherick Lcsw NPPES

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

VICTORIA FLORENCE PETHERICK LCSW (NPI 1235750886) is an individual clinical provider in Salamanca, New York, licensed in New York (098257) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1235750886
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVICTORIA FLORENCE PETHERICKCredential: LCSW
Location Address987 R C HOAG DRSalamanca, NY 14779-1365
Mailing Address987 R C Hoag DrSalamanca, NY 14779-1365 · (716) 945-5894 · Fax (716) 242-6345
Phone(716) 945-5894
Fax(716) 242-6345
Sole ProprietorNo
Enumeration DateMay 5, 2020
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1235750886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 098257
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X · License 111829 (NY)
987 R C HOAG DR, Salamanca, NY 14779
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Secondary Practice Location 1

Location 1430 Niagara StBuffalo, NY 14201-1886 · Phone (716) 566-1870 · Fax (716) 551-0891

Other Identifiers 1

Medicaid08054717NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Florence Petherick Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Victoria Petherick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seneca Nation Of Indians
Same address
Federally Qualified Health Center (FQHC)
987 R C HOAG DR
Salamanca, NY 14779
  • Reassigned Medicare billing, New York enrollment
  • 33 clinicians in this Medicare group
NPI 1023033511 (716) 945-5894

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14779 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSHAMA KOTMIRE THANDLA MD
Family Medicine
987 R C HOAG DR
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894
SENECA NATION OF INDIANS
Clinic/Center (Federally Qualified Health Center (FQHC))
987 R C HOAG DR
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894
SCOTT D WINOKUR DDS
Dentist (General Practice)
987 R C HOAG DR, LIONEL R JOHN HEALTH CENTER
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894
JORDAN PERRY MD
Family Medicine
987 R C HOAG DR
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894
SENECA NATION OF INDIANS
Clinic/Center (Radiology)
987 R C HOAG DR
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894
MORGAN THORNE DDS
Dentist
987 R C HOAG DR
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894
CARIANNE DISPIGNO LMHC
Counselor (Mental Health)
987 R C HOAG DR
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894
KATHRYN A COONEY-THRUSH NP
Nurse Practitioner (Adult Health)
987 R C HOAG DR, LIONEL R JOHN HEALTH CENTER
SALAMANCA, NY 14779
Cattaraugus County (716) 945-5894

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 Victoria Petherick's NPI number?

The NPI number for Victoria Petherick is 1235750886. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Victoria Petherick located?

Victoria Petherick practices at 987 R C Hoag Dr, Salamanca, NY 14779. The listed phone number is (716) 945-5894.

What is Victoria Petherick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Victoria Petherick enrolled in Medicare?

Yes. Victoria Petherick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Victoria Petherick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Petherick reassigns Medicare benefits to Seneca Nation Of Indians (Salamanca, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victoria Petherick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Victoria Petherick was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.