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VIRGINIA MICKOLAJCZYK
NPI 1770649790
Social Worker - Clinical in Fair Lawn, NJ

Active since December 28, 2006PECOS Enrolled
4-21 BANTA PL # A, FAIR LAWN, NJ 07410(201) 794-9000(201) 794-9001 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Virginia Mickolajczyk NPPES

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

VIRGINIA MICKOLAJCZYK (NPI 1770649790) is an individual clinical provider in Fair Lawn, New Jersey, licensed in New Jersey (SC005751) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770649790
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameVIRGINIA MICKOLAJCZYK
Location Address4-21 BANTA PL # AFair Lawn, NJ 07410-3067
Mailing Address0-14 Whitehall StFair Lawn, NJ 07410-2913 · (201) 791-7669 · Fax (201) 791-8223
Phone(201) 794-9000
Fax(201) 794-9001
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770649790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · SC005751
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.
4-21 BANTA PL # A, Fair Lawn, NJ 07410
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Other Names 1

Professional Name (2)Virginia Connelly Lcsw

Other Identifiers 2

Other200590953NJ · Ein
Medicare ID-Type Unspecified06008NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Virginia Mickolajczyk 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 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 $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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 Virginia Mickolajczyk's NPI number?

The NPI number for Virginia Mickolajczyk is 1770649790. It was assigned to this individual provider in the NPPES registry on December 28, 2006. The provider is also known as Virginia Connelly Lcsw.

Where is Virginia Mickolajczyk located?

Virginia Mickolajczyk practices at 4-21 Banta Pl # A, Fair Lawn, NJ 07410. The listed phone number is (201) 794-9000.

What is Virginia Mickolajczyk's specialty?

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

Is Virginia Mickolajczyk enrolled in Medicare?

Yes. Virginia Mickolajczyk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Virginia Mickolajczyk was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.