MS. VANESSA LYNN BROUSSEAU (NPI# 1174517130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174517130 |
| Entity Type | Individual |
| Full Name | MS. VANESSA LYNN BROUSSEAU |
| Credential | LSW |
| Practice Address |
435 Mdg Unit 3215 Apo AE 09094 DE |
| Practice Telephone | 01149637146 |
| Mailing Telephone | 01149637146 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801069262 | MI | Behavioral Health & Social Service Providers |
| Street Address |
435 MDG UNIT 3215 |
| City | APO |
| State | AE |
| Zip Code | 09094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527228 | Christopher David Drew | Preventive Medicine | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-09-07 |
| 1447235163 | Linda Mae Kelly | Social Worker | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-12-15 |
| 1972594075 | Mark Alan Ediger | Family Medicine | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-31 |
| 1457340945 | Rachel Jane Darnell-miller | Social Worker | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-18 |
| 1538157557 | Rudolph Cachuela | Orthopaedic Surgery | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-13 |
| 1619964426 | Deborah Lynn Jentsch | Social Worker | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-06 |
| 1164419016 | Jose Dejesus Villalobos | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-05 |
| 1982691838 | Miroslawa R Dudek | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-05 |
| 1609863554 | Ronald Clifford Pratt | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-05 |
| 1932196821 | Thomas William Grace Jr. | Dentist | 435 Mdg, Unit 3215, Apo, AE 09094 | 2005-10-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043722077 | Claudia Kayatani | Social Worker | Ramstein Afb, 86th Mdg, Apo, AE 09094 | 2017-10-31 |
| 1073993549 | Philip Oro | Family Medicine | Psc 2, Unit 3215, Bldg 2114, Room 201, Apo, RAMSTEIN-MIESENBACH 09094 | 2015-06-01 |
| 1336528363 | Talon Miner | Preventive Medicine | 86 Amds / Sgpf, Flight Surgeon Office Unit 3215, Apo, AE 09094 | 2015-05-22 |
| 1578973921 | Joseph Lincoln Abrams | Preventive Medicine | 86 Amds Unit 3212, Apo, AE 09094 | 2014-05-06 |
| 1063756575 | Bethany Allison Casper | Nurse Practitioner | Ramstein Air Base, 86 Mdg, Apo, AE 09094 | 2012-11-21 |
| 1871846113 | Adam P Faber | Nurse Practitioner | 86mdg, Unit 3215, Apo, AE 09094 | 2012-10-24 |
| 1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
| 1760757371 | Nathan Larson | Dentist | 86ds/sgd, Unit 3215, Apo, AE 09094 | 2012-03-14 |
| 1609004589 | Lashonda M Green Morehead | Military Health Care Provider | 435 Th Mdos/sgopf, Unit 3215 Ramstein Ab, Germany, Apo, AE 09094 | 2009-06-30 |
| 1952588766 | Denise Maria Martin Zona | Counselor | 86 Mdos/sgow, Unit 3215, Apo, AE 09094 | 2008-01-23 |
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| 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 |
|---|---|---|---|---|
| 1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
| 1265045330 | Gwendolyn Emmsley-peko | Social Worker | Brian D Allgood Army Community Hospital, Unit #15245, Apo, AP 96271-5245 | 2020-08-28 |
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1003472572 | David Thomas Powell Jr. | Social Worker | 35 Mdos/sgow, Unit 5024, Apo, AP 96319-5024 | 2019-05-10 |
| 1003389123 | Heather R Baral | Social Worker | Unit 23746, Apo, AE 09034-3746 | 2019-01-11 |
| 1568938561 | Tae Kim | Social Worker | Bld S370, Camp Humphreys Behavioral Health Clinic, Apo, AP 96251-0016 | 2018-10-17 |
| 1043722077 | Claudia Kayatani | Social Worker | Ramstein Afb, 86th Mdg, Apo, AE 09094 | 2017-10-31 |
| 1093245656 | Cindy Rosemarie Bowers | Social Worker | Bldg 370 Camp Humphreys, Wh3s9a 549 Hc/baach Unit 15245, Apo, AP 96271 | 2017-06-15 |
| 1265979298 | Sara Esther Ratliff | Social Worker | Cmr 480 Box 890, Apo, AE 09128-0009 | 2017-01-29 |
| 1942746854 | Meghan Fields | Social Worker | Psc 80 Box 15764, Apo, AP 96367-0060 | 2017-01-17 |
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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.