Individual provider Active NPI

Joel A Vanini, MSW LCSW

  • Clinical Social Worker
  • Georgetown, DE
National Provider Identifier
1942393491
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q10000281 Issued in DE
Practice address
32 Bridgeville Rd
Georgetown, DE 19947
Phone
(302) 856-9190
Fax
(302) 856-9133
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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 Q10000281 DE Primary

Addresses

Primary practice location

32 Bridgeville Rd
Georgetown, DE 19947

Mailing address

32 Bridgeville Rd
Georgetown, DE 19947
Phone (302) 856-9190

Other identifiers 1

IdentifierTypeStateIssuer
1000032299MedicaidDE

Other names 1

  • Joel Vanini Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20090114000685 DE Practitioner - Clinical Social Worker 6305909516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridge Counseling and Therapy Center, LLCGroup PAC ID 2365545589, 2 clinicians

Practice addresses (Care Compare)

21635 Biden Ave
Suite 200
Georgetown, DE 19947-4574
Phone (302) 856-9190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q10000281DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Counseling and Therapy Center, LLC Clinical CurrentSince Apr 1, 1996 Accepting new patients

Locations

21635 Biden Ave
Unit 200
Georgetown, DE 19947
Phone (302) 856-9190

32 Bridgeville Rd
Georgetown, DE 19947
Phone (302) 856-9190

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1942393491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BRIDGEVILLE RD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "19947",
            "telephone_number": "302-856-9190",
            "fax_number": "302-856-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BRIDGEVILLE RD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "19947",
            "telephone_number": "302-856-9190",
            "fax_number": "302-856-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANINI",
        "first_name": "JOEL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q10000281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000032299",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEL",
            "last_name": "JOHNSON",
            "middle_name": "VANINI",
            "credential": "MSW LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.