Vanessa Dawn Evans Vovk

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

95519 Issued in CA

Practice address

132 Sycamore Ave
Modesto, CA 95354-0550

Phone

(209) 505-7554

NPI assigned

Oct 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1063663169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 K ST # 200",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541107",
            "telephone_number": "209-505-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SYCAMORE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540550",
            "telephone_number": "209-505-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS VOVK",
        "first_name": "VANESSA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "95519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eternity Care Home 2
• Davidson Okechukwu Etoamaihe, NP
• Natalie Eusebio
• Napoleon Golilao Evangelio Jr., CRNFA
• Jernee Jenavir Evangelista
• Alyssa Evans
• Cali Evans
• Deven Evans
• Heather Lorraine Evans, RN, PHN
• Kinnesha Evans, B.A.

• Clinical Social Worker in Modesto, CA
• Providers in Modesto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.