Vanessa Vazquez, is a
Social Worker - Clinical based in Gardena, California. Vanessa Vazquez is licensed to practice in California (license number 119221) and her current practice location is
108 W Victoria St, Gardena, California. She can be reached at her office (for appointments etc.) via phone at
(310) 715-2020.
NPI number for Vanessa Vazquez is 1538615612 and her current mailing address is 108 W Victoria St, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538615612.
Healthcare Provider's Profile
| Full Name | Vanessa Vazquez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 108 W Victoria St, Gardena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538615612
- Provider Enumeration Date: 08/29/2016
- Last Update Date: 09/13/2024
Medical Identifiers
Medical identifiers for Vanessa Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538615612 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | P70877 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 119221 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vanessa Vazquez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vanessa Vazquez,
108 W Victoria St,
Gardena, CA 90248-3523
Ph: (310) 715-2020 | Vanessa Vazquez,
108 W Victoria St,
Gardena, CA 90248
Ph: (310) 715-2020 |
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