Vanessa M Talley, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014658 Issued in NC

Practice address

3307 Watkins Rd Ste 227
Durham, NC 27707-3350

Phone

(919) 797-9075

NPI assigned

Oct 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC

  Medicare reassignment NPD
• Calming Counseling PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1184494197
  NPD Authorized official
• Mindful Life Connections, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1992411615
  NPD Authorized official
• Blue Rose Counseling, PLLC

  • Clinical Social Worker
  • Durham, NC
  • NPI 1356005706
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1942964382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 WATKINS RD STE 227",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073350",
            "telephone_number": "984-215-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 WATKINS RD STE 227",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073350",
            "telephone_number": "919-797-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "VANESSA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "MSW010129",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C014658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942964382",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Christoper Talbott, M.D.
• Jennifer Marie Talbott, MD, MPH
• Sarah Lamar Tallent, CPNP-AC
• Mary Leona Talley, PA-C
• Tyler Christian Talley, MSW, LCSW-A
• David Tallon, NP
• Amy Katherine Tally, PT, DPT
• Zachary Shad Tally, PT, DPT
• Patrick Chung Kay Tam, MBBS
• Tamarasa Therapy PLLC

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.