Abbey Vandermillion, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2016044085 Issued in MO

Practice address

90 E Southbrook CT
Columbia, MO 65203-8627

Phone

(573) 200-6518

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Abbey Lukefahr Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1194126367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E SOUTHBROOK CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038627",
            "telephone_number": "573-200-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E SOUTHBROOK CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038627",
            "telephone_number": "573-200-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMILLION",
        "first_name": "ABBEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2016044085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194126367",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "LUKEFAHR",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Charles Van Stone, M.D.
• Tyson Vandagriff, M.D.
• Mahlon Vandelden, M.D.
• Paula Ann Vandelicht, R.D. L.D.
• Deanette Vanderbur
• Mark Lewis Vandewalker, M.D.
• Deana Christina Vandivier, CRNA
• Samantha Lynn Vanessendelft, LMSW
• Amie Margett Vanmorlan, M.D.
• Brianna Nicole Vann, DC

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.