Individual provider Active NPI

Nikeis Vanzzini, LCSW

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1912718859
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105755 Issued in TX
Practice address
6245 Rufe Snow Drive
Suite 280 Unit 627
Fort Worth, TX 76148
Phone
(817) 312-3350
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105755 TX Primary

Addresses

Primary practice location

6245 Rufe Snow Drive
Suite 280 Unit 627
Fort Worth, TX 76148

Mailing address

6245 Rufe Snow Drive
Suite 280 Unit 627
Fort Worth, TX 76148

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

LicenseStateTypeSpecialty
105755TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1912718859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 RUFE SNOW DRIVE",
            "address_2": "SUITE 280 UNIT 627",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 RUFE SNOW DRIVE",
            "address_2": "SUITE 280 UNIT 627",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76148",
            "telephone_number": "817-312-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANZZINI",
        "first_name": "NIKEIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "105755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.