Active NPI
Vanessa Stafford, LMSW
- Clinical Social Worker
- Livonia, MI
National Provider Identifier
1194050872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801019488
- Practice address
- 32231 Schoolcraft Rd
Livonia, MI 48150-4312 - Phone
- (734) 266-6800
- Fax
- (734) 266-6015
- NPI assigned
- Oct 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801019488 | MI | Primary |
Addresses
Primary practice location
32231 Schoolcraft Rd
Livonia, MI 48150-4312
Mailing address
38086 Lantern Hill CT
Farmington Hills, MI 48331-2896
Phone (248) 848-7088
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801019488 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Support Management Services, LLC | Clinical | Current | Accepting new patients |
| Impact Counseling Partners of Michigan, LLC | Current | Accepting new patients | |
| Diversified Educational Consulting Services | Past | Accepting new patients |
Locations
32231 Schoolcraft Rd
Ste 208
Livonia, MI 48150
Phone (734) 266-6800
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.
-
- Mental Health Counselor
- Livonia, MI
- NPI 1063393692
-
- Early Intervention Provider Agency
- Farmington Hills, MI
- NPI 1083065767
-
- Clinical Social Worker
- Detroit, MI
- NPI 1467608323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1194050872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38086 LANTERN HILL CT",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483312896",
"telephone_number": "248-848-7088",
"fax_number": "248-848-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32231 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481504312",
"telephone_number": "734-266-6800",
"fax_number": "734-266-6015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "VANESSA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801019488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.