Vanessa M Idona, LCSW, CSAYC, EMDR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

43009339A Issued in IN

Practice address

5699 E 71St St Ste 3a
Indianapolis, IN 46220-3950

Phone

(929) 302-6163

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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.

• Lotus Counseling and Family Services, LLC

  • Social Worker
  • Indianapolis, IN
  • NPI 1184334781

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1588065775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5699 E 71ST ST STE 3A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203950",
            "telephone_number": "929-302-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 E 71ST ST STE 3A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203950",
            "telephone_number": "929-302-6163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3410 108th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113681222",
            "country_code": "US",
            "telephone_number": "347-287-0175",
            "fax_number": "347-287-0172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDONA",
        "first_name": "VANESSA",
        "middle_name": "M",
        "credential": "LCSW, CSAYC, EMDR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "43009339A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VanessaIdona@LotusFamilyServices.com",
            "affiliation": "Y",
            "endpointDescription": "secured email",
            "affiliationName": "Lotus Counseling and Family Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5699 E 71st St Ste 3A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462203950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.