Individual provider Active NPI

Vanessa Stafford, LMSW

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1194050872
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801019488 Issued in MI
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

Updated by the provider on Oct 13, 2009

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 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

LicenseStateTypeSpecialty
6801019488MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Support Management Services, LLC Clinical Current Accepting new patients
Impact Counseling Partners of Michigan, LLC CurrentSince Sep 14, 2025 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.

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.

Verify at the official NPI Registry.