Individual provider Active NPI

Maria Kathleen Vanoni, LCSW

  • Clinical Social Worker
  • Lompoc, CA
National Provider Identifier
1447395926
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93743 Issued in CA
Practice address
301 N R St
Lompoc, CA 93436-5226
Phone
(805) 737-6400
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW93743 CA
Clinical Social Worker 1041C0700X 93743 CA Primary

Addresses

Primary practice location

301 N R St
Lompoc, CA 93436-5226

Mailing address

300 N San Antonio Rd
Santa Barbara, CA 93110-1316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201016000283 CA Practitioner - Clinical Social Worker 8628498417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Barbara County AuditorGroup PAC ID 9335052083, 98 clinicians

Practice addresses (Care Compare)

301 N 'R' St
Lompoc, CA 93436-5226
Phone (805) 737-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW93743CAMDSocial Worker
93743CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc CurrentSince Nov 2, 2020 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Nov 2, 2020 Accepting new patients
Santa Barbara County Auditor CurrentSince Jan 23, 2024 Accepting new patients
Clinicas del Camino Real Inc Current Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Santa Barbara County Auditor CurrentSince Jan 23, 2024 Accepting new patients
County of Ventura PastSince Jun 4, 2023 Accepting new patients
County of Ventura PastSince May 1, 2023 Accepting new patients
Clinicas del Camino Real Inc PastSince Oct 19, 2020 Accepting new patients
Clinicas del Camino Real Inc PastSince Oct 19, 2020 Accepting new patients

Locations

301 N R St
Lompoc, CA 93436
Phone (805) 737-6400

1000 Newbury Rd
Ste 150
Newbury Park, CA 91320
Phone (805) 498-3640

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

200 S Wells Rd
Ventura, CA 93004
Phone (805) 647-6322

200 S Wells Rd
Ste 250
Ventura, CA 93004
Phone (805) 647-0991

Organizations & group practices 10

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1447395926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N R ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934365226",
            "telephone_number": "805-737-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANONI",
        "first_name": "MARIA",
        "middle_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW93743",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

Verify at the official NPI Registry.