Provider Demographics
NPI:1720763386
Name:CONNARD, VANESSA (BSW, PCPSS)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:CONNARD
Suffix:
Gender:
Credentials:BSW, PCPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 RANDY HENDRIX DR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-7664
Mailing Address - Country:US
Mailing Address - Phone:662-563-9176
Mailing Address - Fax:
Practice Address - Street 1:152 MS 7
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655
Practice Address - Country:US
Practice Address - Phone:662-234-7521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2025-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker