Individual provider Active NPI

Nancy A Vanaman, LCSW

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1962568824
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 2028 Issued in FL
Practice address
1336 Oakfield Dr
Brandon, FL 33511-4851
Phone
(813) 684-5048
Fax
(813) 681-4390
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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 SW 2028 FL Primary

Addresses

Primary practice location

1336 Oakfield Dr
Brandon, FL 33511-4851

Mailing address

PO Box 1098
Brandon, FL 33509-1098
Phone (813) 684-5048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120110000187 FL Practitioner - Clinical Social Worker 0749456978 Practice locations: Brandon, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1336 Oakfield Dr
Brandon, FL 33511-4851
Phone (813) 684-5048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 2028FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1962568824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1098",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335091098",
            "telephone_number": "813-684-5048",
            "fax_number": "813-681-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114851",
            "telephone_number": "813-684-5048",
            "fax_number": "813-681-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAMAN",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.