Provider Demographics
NPI:1497247761
Name:ALMY, VANESSA LYNN (MSW, LCSW, MCAP)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:LYNN
Last Name:ALMY
Suffix:
Gender:F
Credentials:MSW, LCSW, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4542
Mailing Address - Country:US
Mailing Address - Phone:850-372-4192
Mailing Address - Fax:850-372-4915
Practice Address - Street 1:1940 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4542
Practice Address - Country:US
Practice Address - Phone:850-372-4192
Practice Address - Fax:850-372-4915
Is Sole Proprietor?:No
Enumeration Date:2018-06-03
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID11671101YA0400X
FLSW20094101YA0400X
FL200941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1401C0700XMedicaid