MS. VANESSA DIANA STATAM LCSW
NPI 1659926509
Social Worker - Clinical in Madison, WI

Q: What is Vanessa Statam's NPI number?

The NPI number for Vanessa Statam is 1659926509. It was assigned to this individual provider in the NPPES registry on August 7, 2019. The provider is also known as Ms. Vanessa Diana Bush.

Q: What is Vanessa Statam's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Statam was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2019PECOS Enrolled

2701 INTERNATIONAL LN STE 201, MADISON, WI 53704(608) 268-6530(608) 709-1744 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Mar 25, 2025, Sep 4, 2024 and 2 more (5 updates tracked since 2019).

On this page

About Ms. Vanessa Diana Statam Lcsw NPPES

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

MS. VANESSA DIANA STATAM LCSW (NPI 1659926509) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (9892-123) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659926509

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. VANESSA DIANA STATAMCredential: LCSW

Location Address2701 INTERNATIONAL LN STE 201Madison, WI 53704-3126

Mailing Address815 Forward DriveMadison, WI 53711-2443 · (608) 268-6530 · Fax (608) 709-1744

Phone(608) 268-6530

Fax(608) 709-1744

Sole ProprietorNo

Enumeration DateAugust 7, 2019

Last NPPES UpdateFebruary 4, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1659926509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 9892-123

Definition

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.

2701 INTERNATIONAL LN STE 201, Madison, WI 53704

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Other Names 1

Former Name (1)Ms. Vanessa Diana Bush

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Vanessa Diana Statam Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Vanessa Statam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesis Center For Marriage And Family Therapy

8.9 mi

Mental Health (Including Community Mental Health Center)

815 FORWARD DR.
Madison, WI 53711

Reassigned Medicare billing, Wisconsin enrollment
15 clinicians in this Medicare group

NPI 1720586761 (608) 268-6530

Grow Healthcare Group PA

1,303 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Wisconsin enrollment
163 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.90 – $163.24

Typical copayment $0.00 (range $13.47 – $40.81)

Most-billed visit code NA

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

CHYANNE DAVIDSON BS

Case Manager/Care Coordinator