Vanessa Fajotina, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW126628 Issued in PA

Practice address

2935 Byberry Rd
Suite 108
Hatboro, PA 19040-2815

Phone

(215) 957-9771

NPI assigned

Sep 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• VMF Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glenside, PA
  • NPI 1417776964
  NPD Authorized official
• Child and Family Focus Inc.

  • Public Health or Welfare Agency
  • Audubon, PA
  • NPI 1912172453
  NPD (past)

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1528436359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S KESWICK AVE",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384509",
            "telephone_number": "908-246-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 BYBERRY RD",
            "address_2": "SUITE 108",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190402815",
            "telephone_number": "215-957-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJOTINA",
        "first_name": "VANESSA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Josephine Eidson, LCSW, CCDP
• Enadia Elvidge
• Equitable Parenting Lab
• Mojgan Evoghlian, PHARM. D.
• Matthew Fackner, PT, DPT
• Meaghan Fattizzi, LCSW
• Jamie Fechnay, MSOT, OTR/L
• George Filip, MS, LPC
• Lewis P Fleishman, O.D.
• Foresight Vision Services Inc

• Social Worker in Hatboro, PA
• Providers in Hatboro, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.