Vanessa R Ives, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077514-R Issued in NY

Practice address

27 Essex CT
Queensbury, NY 12804-7892

Phone

(518) 744-8904

NPI assigned

Oct 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Vanessa R Brown Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Eden Center for Integrative CareGroup PAC ID 0749634640, 7 clinicians

Practice addresses (Care Compare)

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.

• The Eden Center for Integrative Care

  • Psychologist
  • Glens Falls, NY
  • NPI 1457027526
  Medicare reassignment Care Compare group NPD
• Shannon James Nurse Practitioner in Psychiatry P.C

  dba The Eden Center for Integrative Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
  • NPI 1417697376
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1780159392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ESSEX CT",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047892",
            "telephone_number": "518-744-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ESSEX CT",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047892",
            "telephone_number": "518-744-8904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Dix Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson Falls",
            "state": "NY",
            "postal_code": "128391053",
            "country_code": "US",
            "telephone_number": "518-746-3532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVES",
        "first_name": "VANESSA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "1271972181",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077514-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "BROWN",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Ignazio, RPH
• Innova Physical Therapy, PLLC
• Jennifer Islas
• Erik D Istre, MD
• Demi Iverson-Searer
• J. David Bannon MD PC (Bannon Orthopaedics & Sports Medicine)
• Elizabeth Jachim, MS CCC-SLP
• Erinn Jacobi, OTR/L
• Holly Jafarzade, DDS
• Emily Morgan James, RN

• Clinical Social Worker in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.