VANESSA BLANCHETTE (NPI# 1063834612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063834612 |
| Entity Type | Individual |
| Full Name | VANESSA BLANCHETTE |
| Credential | LCSW |
| Practice Address |
1039 W Mason St Green Bay WI 54303-1842 |
| Practice Telephone | 9209657707 |
| Practice Fax Number | 8884966227 |
| Mailing Telephone | 9209657707 |
| Mailing Fax Number | 8884966227 |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8454-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
1039 W MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-1842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811068851 | Karen Marie Pleshe | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2006-11-13 |
| 1609354166 | Phoenix Van Laanen | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2018-08-06 |
| 1750898458 | Alicia Wheeler | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2018-01-03 |
| 1245756873 | Jordan Lynne Matuszak | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-08-15 |
| 1144745571 | Seniasor Rodriguez-gomez | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-08-07 |
| 1144742040 | Angela Dawn Schiessl | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-07-12 |
| 1700313673 | Erica Janisch | Social Worker | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-05-22 |
| 1538692140 | Renee Socker | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2017-04-10 |
| 1245688993 | Andrea Labine, Ph.d LLC | Psychologist | 1039 W Mason St, 116, Green Bay, WI 54303-1842 | 2016-06-02 |
| 1477908812 | Samantha Jane Mckenzie | Counselor | 1039 W Mason St, Green Bay, WI 54303-1842 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1386154235 | Sara Dorow | Social Worker | 1499 Sixth Street, Green Bay, WI 54304-5430 | 2017-10-05 |
| 1790230589 | Lois Pulvermacher and Associates LLC | Social Worker | 840 Challenger Dr Ste 130, Green Bay, WI 54311-8351 | 2016-08-22 |
| 1194190264 | Ronald Harsh | Social Worker | 1596 Jay Ln, Green Bay, WI 54304-3427 | 2015-12-01 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| 1861665002 | Leslie A Heckman | Social Worker | 111 S Jefferson Street, Green Bay, WI 54301 | 2008-04-09 |
| 1215078662 | Lois A Pulvermacher | Social Worker | 840 Challenger Dr, Ste 130, Green Bay, WI 54311-8351 | 2007-02-09 |
| 1467599431 | Kathleen J Bahler | Social Worker | 603 Beaupre St, Green Bay, WI 54301-2412 | 2007-01-31 |
| 1437204138 | Lisa Ann Burke | Social Worker | 2339 Cedar Ridge Court, Green Bay, WI 54303 | 2007-01-24 |
| 1831243328 | Barbara D Meyer | Social Worker | 2339 Cedar Ridge, Innovative Counseling Inc, Green Bay, WI 54313 | 2007-01-22 |
| Find all providers in GREEN BAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.