Individual provider Active NPI

Vanessa Ramsdell, LCSW

  • Clinical Social Worker
  • Ammon, ID
National Provider Identifier
1780098772
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-39811 Issued in ID
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

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
LCSW87427CAMDClinical Social Worker
LCSW-39811IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J&V Services, Inc. CurrentSince Dec 22, 2024 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.

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.

Verify at the official NPI Registry.