Active NPI
Shawn Michelle Vanvessen, L.C.S.W.
- Clinical Social Worker
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0000486
- 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
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 | 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Center for Mental Wellness, Inc. | Current | Accepting new patients | |
| Resolutions Therapy Group LLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Dover, DE
- NPI 1265089387
-
- Mental Health Counselor
- Dover, DE
- NPI 1639325822
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.