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VANESSA STALLWORTH
NPI 1235800087
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since September 22, 2021
1963 N E ST, SAN BERNARDINO, CA 92405(909) 881-6146 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2023, Aug 29, 2023, Aug 8, 2023 and 1 more (4 updates tracked since 2021).

About Vanessa Stallworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANESSA STALLWORTH (NPI 1235800087) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (R1440340721) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1235800087
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameVANESSA STALLWORTH
Location Address1963 N E STSan Bernardino, CA 92405-3919
Mailing Address1963 N E StSan Bernardino, CA 92405-3919 · (909) 881-6146 · Fax (909) 881-3479
Phone(909) 881-6146
Sole ProprietorNo
Enumeration DateSeptember 22, 2021
Last NPPES UpdateSeptember 4, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1235800087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1440340721
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC14195 (CA)
1963 N E ST, San Bernardino, CA 92405
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA HART
Counselor
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
GRACE NEWLAND
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
SUSAN M. REED
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
PEGGY J. SANDOZ
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
PATRICIA VOSIKA
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
BETTY M. REDMOND
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
SHARON D. CHURCH
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
TERRI L. TOWNSAN
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanessa Stallworth's NPI number?

The NPI number for Vanessa Stallworth is 1235800087. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Vanessa Stallworth located?

Vanessa Stallworth practices at 1963 N E St, San Bernardino, CA 92405. The listed phone number is (909) 881-6146.

What is Vanessa Stallworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Vanessa Stallworth was last updated on September 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.