Active NPI
Vanessa Ramsdell, LCSW
- Clinical Social Worker
- Ammon, ID
National Provider Identifier
1780098772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-39811
- Practice address
- 4220 Frontier Dr
Ammon, ID 83406-4788 - Phone
- (714) 326-7270
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | LCSW87427 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW87427 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW-39811 | ID | Primary |
Addresses
Primary practice location
4220 Frontier Dr
Ammon, ID 83406-4788
Mailing address
4220 Frontier Dr
Ammon, ID 83406-4788
Phone (714) 326-7270
Other practice location 1
508 Swanson Ave
Placentia, CA 92870-2031
Phone (714) 326-7270
Other practice location 2
1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026
Other names 1
- Vanessa Haynes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW87427 | CA | MD | Clinical Social Worker |
| LCSW-39811 | ID | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J&V Services, Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Idaho Falls, ID
- NPI 1760290126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1780098772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 FRONTIER DR",
"city": "AMMON",
"state": "ID",
"postal_code": "834064788",
"telephone_number": "714-326-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 FRONTIER DR",
"city": "AMMON",
"state": "ID",
"postal_code": "834064788",
"telephone_number": "714-326-7270"
}
],
"practiceLocations": [
{
"address_1": "508 Swanson Ave",
"address_purpose": "LOCATION",
"city": "Placentia",
"state": "CA",
"postal_code": "928702031",
"country_code": "US",
"telephone_number": "714-326-7270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1809 W Redlands Blvd",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923738054",
"country_code": "US",
"telephone_number": "909-335-3026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMSDELL",
"first_name": "VANESSA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2021-03-26",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW87427",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW87427",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-39811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VANESSA",
"last_name": "HAYNES",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.