Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johana Vanessa Basurto

Individual provider Clinical Social Worker · NPI 1619763893

Johana Vanessa Basurto is a Clinical Social Worker in Vail, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

12104 E Ryscott Cir
Vail, AZ 85641-0255
Phone: (928) 366-4541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LMSW-16826 (AZ)

Record details

NPI number1619763893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

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