Individual provider Active NPI

Vanessa R Albergo, LCSW

  • Clinical Social Worker
  • Port St Lucie, FL
National Provider Identifier
1205248994
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16806 Issued in FL
Practice address
11917 SW Lyra Drive
Port St Lucie, FL 34987
Phone
(954) 701-5827
NPI assigned
May 29, 2014
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW16806 FL Primary

Addresses

Primary practice location

11917 SW Lyra Drive
Port St Lucie, FL 34987

Mailing address

11917 SW Lyra Dr
Port St Lucie, FL 34987-6417
Phone (954) 701-5827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NH, NJ, NM4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20241010003582 MO Practitioner - Clinical Social Worker 7618388356 Reassigns benefits to 1 organization
I20250210002919 NH Practitioner - Clinical Social Worker 7618388356 Reassigns benefits to 1 organization
I20250306003843 NJ Practitioner - Clinical Social Worker 7618388356 Reassigns benefits to 1 organization
I20251031003070 NM Practitioner - Clinical Social Worker 7618388356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW16806FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lev Therapy Clinical CurrentSince Mar 24, 2025 Accepting new patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Feb 27, 2025 Accepting new patients

Locations

200 S Biscayne Blvd
Miami, FL 33131
Phone (210) 248-9077

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

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, 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": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1205248994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 SW LYRA DR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349876417",
            "telephone_number": "954-701-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 SW LYRA DRIVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34987",
            "telephone_number": "954-701-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERGO",
        "first_name": "VANESSA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.