ANNA VARDAKIS – Clinical Social Worker, NPI 1306576228

ANNA VARDAKIS is a healthcare provider. based in Trenton, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 44SC06077600 (NJ). The NPI Number for ANNA VARDAKIS is 1306576228

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ANNA VARDAKIS
NPI
1306576228
Phone
(609) 278-6378
Address
321 N WARREN ST
Enumeration Date
14 June 2022
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6092786029
Graduation Year
2017 (9 years ago)
PAC ID
1850767153
Group Practice PAC ID
9739179409
Professional Enrollment ID
I20221011002020
Address ID
NJ086184741TR321XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

Provider Addresses for ANNA VARDAKIS

  • 321 N WARREN ST

    TRENTON, NJ 086184741

    Phone: (609) 278-6378

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221011002020IClinical Social WorkerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08618)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739179409View full group profile
NameSpecialtyState
Internal MedicinePA
-NJ
Clinical Social WorkerNJ
Nurse PractitionerNY
-NJ
Physician AssistantNJ
Nurse PractitionerPA
Infectious DiseaseNJ
Nurse PractitionerNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What NPI should I save for ANNA VARDAKIS?
Save NPI 1306576228 if you need a stable reference for ANNA VARDAKIS.
Is ANNA VARDAKIS active in the national directory?
ANNA VARDAKIS's public NPI profile is in an active state.
What field does ANNA VARDAKIS work in?
You can think of ANNA VARDAKIS as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is ANNA VARDAKIS's primary listing?
We display Trenton, New Jersey because that is what the record indicates for ANNA VARDAKIS.
Is ANNA VARDAKIS a real provider?
This page reflects official NPPES data for NPI 1306576228. Always confirm identity and privileges with the practice and licensing boards.

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