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

Vanessa Allegra Diambou Moulambi, LCSW

Individual provider Clinical Social Worker · NPI 1942070602

Vanessa Allegra Diambou Moulambi, LCSW is a Clinical Social Worker in Pawtucket, Rhode Island. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Rhode Island and Vermont.

Years since qualifying
5
Licensed in
RI, VT
In the registry since
2024
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

103 Bacon St
Pawtucket, RI 02860-5542
Phone: (401) 722-3560
Fax: (401) 722-3593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1138 Pine St, Burlington, VT 05401-5353 — (802) 488-6000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW04039 (RI)
Community Health Worker Taxonomy 172V00000X · Licence 097-0135266 (VT)

Record details

NPI number1942070602
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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