Individual provider Active NPI

Noemi Tasha Vorhis, LCSW

  • Clinical Social Worker
  • Elkton, TN
National Provider Identifier
1073687943
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW6649 Issued in TN
Practice address
175 Main St.
Elkton, TN 38455-0058
Phone
(256) 434-1256
NPI assigned
Nov 20, 2006
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MASTERS NU
Clinical Social Worker 1041C0700X 3643C AL
Clinical Social Worker 1041C0700X LCSW6649 TN Primary

Addresses

Primary practice location

175 Main St.
Elkton, TN 38455-0058

Mailing address

PO Box 58
Elkton, TN 38455-0058
Phone (256) 434-1256

Other identifiers 1

IdentifierTypeStateIssuer
051530957OtherALBCBS OF AL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW6649TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
TP-Health Ca PC Past Accepting new patients
Foundations Counseling Center, Inc. Clinical Past Accepting new patients
Mental Health Center of North Central Alabama Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: noemivorhis@tdh.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1073687943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "ELKTON",
            "state": "TN",
            "postal_code": "384550058",
            "telephone_number": "256-434-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAIN ST.",
            "city": "ELKTON",
            "state": "TN",
            "postal_code": "384550058",
            "telephone_number": "256-434-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORHIS",
        "first_name": "NOEMI",
        "middle_name": "TASHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "MASTERS",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3643C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LCSW6649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL PROVIDER #",
            "identifier": "051530957",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.