Individual provider Active NPI

Vanessa Hodgson, LCSW

  • Clinical Social Worker
  • Monona, WI
National Provider Identifier
1063700953
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7774-123 Issued in WI
Practice address
5900 Monona Dr
Suite 300
Monona, WI 53716-3554
Phone
(608) 712-3980
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 7774-123 WI Primary

Addresses

Primary practice location

5900 Monona Dr
Suite 300
Monona, WI 53716-3554

Mailing address

5900 Monona Dr
Suite 300
Monona, WI 53716-3554
Phone (608) 712-3980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, KY, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20111219000209 WI Practitioner - Clinical Social Worker 4688849797 Reassigns benefits to 1 organization
I20231115002660 KY Practitioner - Clinical Social Worker 4688849797 Reassigns benefits to 1 organization
I20240716000062 PA Practitioner - Clinical Social Worker 4688849797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians

Practice addresses (Care Compare)

New Castle, PA 16101
Phone (724) 944-2771

Perryville, KY 40468
Phone (855) 241-7160

Verona, WI 53593
Phone (855) 241-7160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1063700953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR",
            "address_2": "SUITE 300",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163554",
            "telephone_number": "608-712-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR",
            "address_2": "SUITE 300",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163554",
            "telephone_number": "608-712-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "VANESSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7774-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monona, WI

Sources for this page

Verify at the official NPI Registry.