Vanessa Marie Wananu, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27466 Issued in MN

Practice address

1426 Bemidji Ave N Ste 1
Bemidji, MN 56601-3882

Phone

(218) 444-2233

Fax

(218) 237-2520

NPI assigned

Feb 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Marie Rabel Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lake Country Associates, Inc.

  • Community/Behavioral Health Agency
  • Park Rapids, MN
  • NPI 1104151588
  Medicare reassignment NPD
• Stellher Human Services, Inc.

  • Community/Behavioral Health Agency
  • Bemidji, MN
  • NPI 1023225430
  NPD (past)
• Peterson Medical Clinics, LLC

  dba Rural Psychiatry Associates

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1699295774
  NPD (past)

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1184997710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 BEMIDJI AVE N STE 1",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013882",
            "telephone_number": "218-444-2233",
            "fax_number": "218-237-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 BEMIDJI AVE N STE 1",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013882",
            "telephone_number": "218-444-2233",
            "fax_number": "218-237-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANANU",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "RABEL",
            "middle_name": "MARIE",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pearl Walker-Swaney
• Joanna Wallenberg, LICSW
• Walmart Inc. (Walmart Pharmacy 10-3233)
• John Walseman
• Dorothy Ellen Walton, RN
• Cheri Lynne Ware, DPT
• Erin Millicent Wark May
• Megan L Warmbold, RDH
• Timothy John Warme, LADC
• Bonnie Jo Wastweet

• Clinical Social Worker in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.