Individual provider Active NPI

Mikayla Nicole Vanhoose, LGSW

  • Social Worker
  • Charleston, WV
National Provider Identifier
1265110761
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00946581 Issued in WV
Practice address
888 Oakwood Rd Ste 300
Charleston, WV 25314-2071
Phone
(681) 265-0999
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X OH
Social Worker 104100000X BP00946581 WV Primary

Addresses

Primary practice location

888 Oakwood Rd Ste 300
Charleston, WV 25314-2071

Mailing address

1412 S 9TH St
Ironton, OH 45638-2151
Phone (740) 861-4264

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BP00946581WVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Developmental Advantage, LLC CurrentSince Jul 9, 2023 Accepting new patients

Locations

888 Oakwood Rd
Ste 300
Charleston, WV 25314
Phone (681) 265-0999

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1265110761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 S 9TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382151",
            "telephone_number": "740-861-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OAKWOOD RD STE 300",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142071",
            "telephone_number": "681-265-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOSE",
        "first_name": "MIKAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00946581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.