NPIMap

Individual provider Active NPI

Vanessa Anne Fabian, LCSW

  • Clinical Social Worker
  • Jackson, WY
National Provider Identifier
1992292098
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-1284 Issued in WY
Practice address
690 S Hwy 89 Ste 201
Jackson, WY 83001-8508
Phone
(307) 200-7111
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L16413 OR
Clinical Social Worker 1041C0700X PCSW-778 WY
Clinical Social Worker 1041C0700X LCSW-40159 ID
Clinical Social Worker 1041C0700X LCSW-1284 WY Primary

Addresses

Primary practice location

690 S Hwy 89 Ste 201
Jackson, WY 83001-8508

Mailing address

PO Box 9075
Jackson, WY 83002-9075
Phone (307) 200-7111

Other practice location 1

3455 S Tensleep Dr.
Jackson, WY 83001
Phone (307) 200-7111

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
LCSW-40159IDMDClinical Social Worker
L16413ORMDClinical Social Worker
LCSW-1284WYMDClinical Social Worker
PCSW-778WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Red Top Meadows Clinical Past Accepting new patients
Teton Youth and Family Services Past Accepting new patients

Organizations & group practices 2

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1992292098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9075",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830029075",
            "telephone_number": "307-200-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 S HWY 89 STE 201",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018508",
            "telephone_number": "307-200-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 S Tensleep Dr.",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "83001",
            "country_code": "US",
            "telephone_number": "307-200-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "VANESSA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L16413",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-778",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-40159",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-1284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.