VICTORIA NIELSEN LMSW
NPI 1891353579
Social Worker in Coram, NY

Q: What is Victoria Nielsen's NPI number?

The NPI number for Victoria Nielsen is 1891353579. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Victoria Nielsen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Victoria Nielsen enrolled in Medicare?

No. Victoria Nielsen has opted out of Medicare through May 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Victoria Nielsen was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 29, 2019Opted out of Medicare · through May 21, 2028

3600 ROUTE 112, CORAM, NY 11727(631) 920-8500 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2020, May 29, 2019 (2 updates tracked since 2019).

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About Victoria Nielsen Lmsw NPPES

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

VICTORIA NIELSEN LMSW (NPI 1891353579) is an individual social worker in Coram, New York, licensed in New York (109557-01) and active in the NPI registry since May 2019. She has opted out of Medicare through May 21, 2028 and maintains a secondary practice location in Port Jefferson Station.

NPPES Registry Identity

NPI1891353579

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameVICTORIA NIELSENCredential: LMSW

Location Address3600 ROUTE 112Coram, NY 11727-4116

Mailing Address14202 20th Ave Fl 3Flushing, NY 11351-3000 · (718) 559-0516

Phone(631) 920-8500

Sole ProprietorNo

Enumeration DateMay 29, 2019

Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration

NPPES CertifiedOctober 30, 2020

✔ NPI 1891353579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 109557-01

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3600 ROUTE 112, Coram, NY 11727

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Secondary Practice Location 1

Location 15225 Rte 347 Ste 44Port Jefferson Station, NY 11776-2060 · Phone (631) 403-3318

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Victoria Nielsen Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 21, 2024 through May 21, 2028.

Opt-Out Effective DateMay 21, 2024

Opt-Out In Effect ThroughMay 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

RAQUEL FERNANDES

Counselor (Mental Health)