Active NPI
Nikeis Vanzzini, LCSW
- Clinical Social Worker
- Fort Worth, TX
National Provider Identifier
1912718859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105755
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 105755 | TX | MD | Clinical 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.