Individual provider Active NPI

Vanessa Buchanan, LCSW, LISW, LICDC

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1639846264
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017217 Issued in VA
Practice address
101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523
Phone
(833) 510-4357
Fax
(866) 460-2997
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162672 OH
Clinical Social Worker 1041C0700X I.2405733 OH
Social Worker 104100000X S.2310146 OH
Social Worker 104100000X S.2001393-TRNE OH
Clinical Social Worker 1041C0700X 0906012510 VA
Clinical Social Worker 1041C0700X 0904017217 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103957 VA
Social Worker 104100000X 0903003982 VA

Addresses

Primary practice location

101 N Lynnhaven Rd Ste 100
Virginia Beach, VA 23452-7523

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Other practice location 1

1516 Harmon St
Norfolk, VA 23518-4056
Phone (757) 206-2252

Other practice location 2

3001 Prospect Ave E
Cleveland, OH 44115-2609
Phone (216) 231-3771

Other practice location 3

5715 Princess Anne Rd
Virginia Beach, VA 23462-3222
Phone (757) 962-0748

Other practice location 4

1804 E 55th St
Cleveland, OH 44103-3602
Phone (330) 535-8116

Other names 1

  • Vanessa Burlingame Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241021002459 OH Practitioner - Clinical Social Worker 2163954728 Reassigns benefits to 1 organization
I20250418000083 VA Practitioner - Clinical Social Worker 2163954728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Churchville, VA 24421
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICDC.162672OHMDAddiction (Substance Use Disorder) Counselor
S.2001393-TRNEOHMDSocial Worker
S.2310146OHMDSocial Worker
0906012510VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Mar 2, 2026 Accepting new patients
Brightview LLC CurrentSince Mar 2, 2026 Accepting new patients
Signature Health, Inc CurrentSince Aug 10, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Apr 3, 2025 Accepting new patients
Signature Health Inc CurrentSince Aug 10, 2024 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Oriana House, Inc. Addiction (Substance Use Disorder) PastSince Aug 1, 2021 Accepting new patients
Oriana House, Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

3704 Old Forest Rd
Lynchburg, VA 24501

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

Organizations & group practices 8

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1639846264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N LYNNHAVEN RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527523",
            "telephone_number": "833-510-4357",
            "fax_number": "866-460-2997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 Harmon St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235184056",
            "country_code": "US",
            "telephone_number": "757-206-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Prospect Ave E",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441152609",
            "country_code": "US",
            "telephone_number": "216-231-3771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5715 Princess Anne Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623222",
            "country_code": "US",
            "telephone_number": "757-962-0748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 E 55th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441033602",
            "country_code": "US",
            "telephone_number": "330-535-8116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LISW, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405733",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2310146",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2001393-TRNE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906012510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017217",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103957",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903003982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BURLINGAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.