Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VANESSA ALLEGRA DIAMBOU MOULAMBI LCSW
NPI 1942070602
Social Worker - Clinical in Pawtucket, RI

Q: What is Vanessa Diambou Moulambi's NPI number?

The NPI number for Vanessa Diambou Moulambi is 1942070602. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Q: What is Vanessa Diambou Moulambi's specialty?

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

Active since January 04, 2024PECOS Enrolled

103 BACON ST, PAWTUCKET, RI 02860(401) 722-3560(401) 722-3593 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Jan 4, 2024 (2 updates tracked since 2024).

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About Vanessa Allegra Diambou Moulambi Lcsw NPPES

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

VANESSA ALLEGRA DIAMBOU MOULAMBI LCSW (NPI 1942070602) is an individual clinical provider in Pawtucket, Rhode Island, licensed in Rhode Island (CSW04039) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942070602

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameVANESSA ALLEGRA DIAMBOU MOULAMBICredential: LCSW

Location Address103 BACON STPawtucket, RI 02860-5542

Mailing Address208 Flynn Ave Ste 3jBurlington, VT 05401-5420 · (802) 488-6934 · Fax (802) 488-6919

Phone(401) 722-3560

Fax(401) 722-3593

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 4, 2024

Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1942070602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in RI · CSW04039

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.

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 097-0135266 (VT)

103 BACON ST, Pawtucket, RI 02860

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Secondary Practice Location 1

Location 11138 Pine StBurlington, VT 05401-5353 · Phone (802) 488-6000 · Fax (802) 488-6919

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vanessa Allegra Diambou Moulambi Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193204493

PECOS Enrollment IDI20260206003101

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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 $58.57 – $177.03

Typical copayment $0.00 (range $14.64 – $44.25)

Most-billed visit code NA

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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 20

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

CRISTINA CARNEGLIA WISE

Registered Nurse