Active NPIIndividual provider

Vanessa A Diambou Moulambi, LCSW

Social Worker, Clinical in Pawtucket, Rhode Island

NPI Number1942070602
Practice location
103 Bacon St, Pawtucket, RI 02860-5542
Fax
401-722-3593
Last updated
July 6, 2026

Vanessa Allegra Diambou Moulambi is a Social Worker, Clinical based in Pawtucket, RI. Vanessa Allegra Diambou Moulambi practices in Pawtucket, RI and has the professional credentials of LCSW. The NPI Number for Vanessa Allegra Diambou Moulambi is 1942070602 and holds a License No. CSW04039 (RI). The current practice location address for Vanessa Allegra Diambou Moulambi is 103 Bacon St, Pawtucket, RI 02860-5542 and can be reached out via phone at 401-722-3560 and via fax at 401-722-3593.

Provider Profile Details

NPI Number
1942070602
Provider Name
Vanessa Allegra Diambou Moulambi
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
103 Bacon St, Pawtucket, RI 02860-5542
Phone Number
401-722-3560
Fax Number
401-722-3593
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 4, 2024
Last Update Date
July 6, 2026
Certification Date
July 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Bacon St
Pawtucket, RI 02860-5542
Zip
02860-5542
Phone Number
401-722-3560
Fax Number
401-722-3593
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
208 Flynn Ave Ste 3J
Burlington, VT 05401-5420
City
Burlington
State
VT
Zip
05401-5420
Phone Number
802-488-6934
Fax Number
802-488-6919

License Information

License Number (1)
CSW04039
License State (1)
RI
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
097-0135266
License State (2)
VT
Taxonomy (2)
Community Health Worker · 172V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vanessa A Diambou Moulambi, LCSW?

The NPI number of Vanessa A Diambou Moulambi, LCSW is 1942070602. It was assigned on January 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Vanessa A Diambou Moulambi, LCSW?

Vanessa A Diambou Moulambi, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number CSW04039.

Where does Vanessa A Diambou Moulambi, LCSW practice?

The practice location is 103 Bacon St, Pawtucket, RI 02860-5542. The office can be reached at 401-722-3560 (phone) or 401-722-3593 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942070602 directly on the NPPES registry website.

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