Individual provider Active NPI

Vanessa L Pydeski, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1770804064
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9578 Issued in FL
Practice address
9270 Bay Plaza Blvd
604
Tampa, FL 33619-4499
Phone
(813) 246-4120
Fax
(813) 246-4194
NPI assigned
Jun 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW9578 FL Primary

Addresses

Primary practice location

9270 Bay Plaza Blvd
604
Tampa, FL 33619-4499

Mailing address

9270 Bay Plaza Blvd
604
Tampa, FL 33619-4499
Phone (813) 246-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9578FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling LLC PastSince Oct 7, 2024 Accepting new patients
Bayshore Geriatric Solutions, Inc. Clinical Past Accepting new patients

Organizations & group practices 2

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1770804064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9270 BAY PLAZA BLVD",
            "address_2": "604",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194499",
            "telephone_number": "813-246-4120",
            "fax_number": "813-246-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 BAY PLAZA BLVD",
            "address_2": "604",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194499",
            "telephone_number": "813-246-4120",
            "fax_number": "813-246-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYDESKI",
        "first_name": "VANESSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.