Tessa Vickers, LISW, LCDCIII

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I. 1600637 Issued in OH

Practice address

601 Underwood St
Zanesville, OH 43701-3771

Phone

(740) 454-1266

NPI assigned

Nov 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

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.

• Muskingum County Drug Alcohol & Substance Abuse Council Inc

  • Addiction (Substance Use Disorder) Counselor
  • Zanesville, OH
  • NPI 1720349434
  Medicare reassignment NPD

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1871035782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNDERWOOD ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013771",
            "telephone_number": "740-454-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNDERWOOD ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437013771",
            "telephone_number": "740-454-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "TESSA",
        "credential": "LISW, LCDCIII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "151141",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 1600637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Kay Vaughan-Rogers
• Leah T Vensil, LISW
• Seth Vensil, M.D.
• Tanner Richard Vernon, PHARM D.
• Christy K Vickers, CNP
• Village of South Zanesville
• Zachary Ryan Visnic, CRNA
• Vocworks
• Julie Vought
• Dawn Waers

• Clinical Social Worker in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.