Individual provider Active NPI

Vanessa Risovic-Dromsky, LICSW

  • Clinical Social Worker
  • Lynn, MA
National Provider Identifier
1053601377
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116042 Issued in MA
Practice address
20 Wheeler St
4TH- Bccrd
Lynn, MA 01902-4416
Phone
(781) 593-0100
Fax
(781) 599-3329
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116042 MA Primary

Addresses

Primary practice location

20 Wheeler St
4TH- Bccrd
Lynn, MA 01902-4416

Mailing address

215 Washington Ave
15
Chelsea, MA 02150-3655
Phone (617) 602-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116042MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1053601377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WASHINGTON AVE",
            "address_2": "15",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021503655",
            "telephone_number": "617-602-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WHEELER ST",
            "address_2": "4TH- BCCRD",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019024416",
            "telephone_number": "781-593-0100",
            "fax_number": "781-599-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISOVIC-DROMSKY",
        "first_name": "VANESSA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.