Vanessa Anne Nisperos, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103063 Issued in NY

Practice address

108 Kenilworth PL
Brooklyn, NY 11210-2439

Phone

(347) 627-8400

NPI assigned

Sep 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599264000000",
    "number": "1235743378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RUGBY RD APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301502",
            "telephone_number": "917-620-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KENILWORTH PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102439",
            "telephone_number": "347-627-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISPEROS",
        "first_name": "VANESSA",
        "middle_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OFFICE OF THE PROFESSIONS",
            "identifier": "103063",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khalida Nisimova, PHARMD
• Nisma, PLLC LCSW
• Michael Nisnevitz
• Vyacheslav Nisonov, DPT
• Yuliya M Nisonova, LMSW
• Carly Jessica Nisse, LMSW
• Rivka C Nissel, LMSW
• Isaac Nissen, MS SP ED
• Jordan Nissen
• Miriam Nissen

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; 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.