Individual provider Active NPI

Vanessa Blanchette, LCSW

  • Clinical Social Worker
  • Green Bay, WI
National Provider Identifier
1063834612
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8454-123 Issued in WI
Practice address
1671 Hoffman Rd Ste 170
Green Bay, WI 54311-6232
Phone
(920) 288-2233
Fax
(920) 486-9355
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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 8454-123 WI Primary

Addresses

Primary practice location

1671 Hoffman Rd Ste 170
Green Bay, WI 54311-6232

Mailing address

2500 Ducharme LN
Green Bay, WI 54301-1914
Phone (920) 288-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160614001789 WI Practitioner - Clinical Social Worker 2062703523 Reassigns benefits to 1 organization
Practice locations: Green Bay, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Power for Change LLCGroup PAC ID 0840571253, 3 clinicians

Practice addresses (Care Compare)

123 N Oakland Ave
Green Bay, WI 54303-2831
Phone (920) 770-4088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Chiropractic & Wellness Connection LLC CurrentSince Sep 5, 2023 Accepting new patients
Power for Change, LLC CurrentSince Nov 18, 2016 Accepting new patients
Blue Skies Counseling LLC Clinical CurrentSince Jun 1, 2022 Accepting new patients

Locations

123 N Oakland Ave
Green Bay, WI 54303
Phone (920) 770-4088

1039 W Mason St
Green Bay, WI 54303
Phone (920) 965-7707

1671 Hoffman Rd
Ste 170
Green Bay, WI 54311
Phone (920) 288-2233

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1063834612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DUCHARME LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011914",
            "telephone_number": "920-288-2233",
            "fax_number": "920-486-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 HOFFMAN RD STE 170",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116232",
            "telephone_number": "920-288-2233",
            "fax_number": "920-486-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHETTE",
        "first_name": "VANESSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8454-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.