Individual provider · Type 1 NPI

Vanessa Allegra Diambou Moulambi, LCSW

Clinical Social Worker · Pawtucket, RI

NPI number 1942070602 Active

Practice location

103 Bacon St
Pawtucket, RI 02860-5542

Call (401) 722-3560 Map

Fax (401) 722-3593

Mailing address

208 Flynn Ave Ste 3J
Burlington, VT 05401-5420

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW04039 (RI)
Community Health Worker 172V00000X097-0135266 (VT)

Clinical Social Worker: 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 interpers…

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About NPI 1942070602

Vanessa Allegra Diambou Moulambi, LCSW's National Provider Identifier is 1942070602, issued on Jan 4, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 6, 2026.