Individual provider Active NPI

Annette Vescoco, M.S.

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1427261031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1835 Union Ave Ste 101
Memphis, TN 38104-3943
Phone
(901) 726-4586
Fax
(901) 272-8782
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 TN Primary

Addresses

Primary practice location

1835 Union Ave Ste 101
Memphis, TN 38104-3943

Mailing address

1835 Union Ave Ste 101
Memphis, TN 38104-3943
Phone (901) 726-4586

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PE000000598TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Counseling Ctr Past Accepting new patients

Organizations & group practices 1

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427261031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 UNION AVE STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043943",
            "telephone_number": "901-726-4586",
            "fax_number": "901-272-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 UNION AVE STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043943",
            "telephone_number": "901-726-4586",
            "fax_number": "901-272-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESCOCO",
        "first_name": "ANNETTE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.