Individual provider Active NPI

Shawn Michelle Vanvessen, L.C.S.W.

  • Clinical Social Worker
  • Dover, DE
National Provider Identifier
1265597009
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0000486 Issued in DE
Practice address
300 Tuskegee Blvd
Dover, DE 19902-5003
Phone
(302) 677-2711
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 Q1-0000486 DE Primary

Addresses

Primary practice location

300 Tuskegee Blvd
Dover, DE 19902-5003

Mailing address

667 Equitation LN
Felton, DE 19943-2735
Phone (302) 284-4535

Other practice location 1

1151 Walker Rd
Dover, DE 19904-6600
Phone (302) 272-5180

Other practice location 2

667 Equitation Ln
Felton, DE 19943-2735
Phone (302) 528-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20100609000036 DE Practitioner - Clinical Social Worker 0840320479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2116 S Dupont Hwy
Unit 4
Camden, DE 19934-1259
Phone (302) 528-0428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Center for Mental Wellness, Inc. CurrentSince Dec 1, 2015 Accepting new patients
Resolutions Therapy Group LLC Clinical CurrentSince Aug 5, 2019 Accepting new patients
F.H. Everett & Assoc. Inc Clinical Past Accepting new patients

Locations

2116 S DuPont Hwy
Unit 4
Camden, DE 19934
Phone (302) 528-0428

121 W Loockerman St
Dover, DE 19904
Phone (302) 674-1397

1151 Walker Rd
Dover, DE 19904
Phone (302) 674-1397

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1265597009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EQUITATION LN",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199432735",
            "telephone_number": "302-284-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TUSKEGEE BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199025003",
            "telephone_number": "302-677-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Walker Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199046600",
            "country_code": "US",
            "telephone_number": "302-272-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "667 Equitation Ln",
            "address_purpose": "LOCATION",
            "city": "Felton",
            "state": "DE",
            "postal_code": "199432735",
            "country_code": "US",
            "telephone_number": "302-528-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANVESSEN",
        "first_name": "SHAWN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.