Vanessa F Dewitt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09927414 Issued in CO

Practice address

52 Village Dr Ste 52
Pagosa Springs, CO 81147-8368

Phone

(970) 264-2104

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1932192598

  Single Specialty

  NPD
• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1750901260
  NPD (past)

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1689345753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 VILLAGE DR STE 52",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478368",
            "telephone_number": "970-264-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 E 3rd Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813015049",
            "country_code": "US",
            "telephone_number": "970-352-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Three Springs Blvd",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813019033",
            "country_code": "US",
            "telephone_number": "970-403-0180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "691 E Empire St",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212802",
            "country_code": "US",
            "telephone_number": "970-565-7949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 Sawyer Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813033409",
            "country_code": "US",
            "telephone_number": "970-259-2162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dove Creek",
            "state": "CO",
            "postal_code": "813244900",
            "country_code": "US",
            "telephone_number": "970-677-2291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "VANESSA",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09927414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Defield
• Kimberly Dennis
• Kirsten P. Derr, O.D.
• Rachel Dawn Devloo, LMT
• Heather Renee Dewaal, PHARMD
• Dillon Companies LLC
• Shellie Dolan, LPN
• Kimberly Domingo
• David E Drake, DO
• Peter M Dziad, M.D.

• Clinical Social Worker in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.