Individual
VANESSA A VAZIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 E OLIN AVE STE 275, MADISON, WI 53713-1475
(608) 262-1111
(608) 263-9045
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9130
WI
1041C0700X
Clinical Social Worker
Primary
9130-123
WI
1041C0700X
Clinical Social Worker
CSW.09932075
CO
Other
Enumeration date
02/09/2015
Last updated
07/31/2025
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