Mrs Sally A Vicari, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tonawanda, New York. Her current practice location is
333 Dexter Ter, Tonawanda, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 462-4355.
Mrs Sally A Vicari is licensed to practice in New York (license number 0873171) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316397862.
Healthcare Provider's Profile
Full Name | Mrs Sally A Vicari |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 333 Dexter Ter, Tonawanda, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316397862
- Provider Enumeration Date: 06/15/2016
- Last Update Date: 09/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 2062869746
- Enrollment ID: I20231117001211
Medical Identifiers
Medical identifiers for Mrs Sally A Vicari such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316397862 | NPI | - | NPPES |
01465154 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 85817 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 085817 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 0873171 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Sally A Vicari is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Sally A Vicari, LCSW 333 Dexter Ter, Tonawanda, NY 14150-4747 Ph: () - | Mrs Sally A Vicari, LCSW 333 Dexter Ter, Tonawanda, NY 14150-4747 Ph: (716) 462-4355 |
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