Active NPI
Jeanne Vattuone, LCSW
- Clinical Social Worker
- Santa Rosa, CA
National Provider Identifier
1801919642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 18987
- Practice address
- 865 3Rd St
Suite 204
Santa Rosa, CA 95404-4515 - Phone
- (707) 322-3843
- NPI assigned
- Apr 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18987 | CA | Primary |
Addresses
Primary practice location
865 3Rd St
Suite 204
Santa Rosa, CA 95404-4515
Mailing address
865 3Rd St
Suite 204
Santa Rosa, CA 95404-4515
Phone (707) 322-3843
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18987 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1801919642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 3RD ST",
"address_2": "SUITE 204",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044515",
"telephone_number": "707-322-3843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 3RD ST",
"address_2": "SUITE 204",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044515",
"telephone_number": "707-322-3843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VATTUONE",
"first_name": "JEANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "18987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.