Robert J Vanoosterhout, MA,LLP,CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801016909 Issued in MI

Practice address

9249 West Lake City Road
Houghton Lake, MI 48629

Phone

(989) 422-5122

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1265528996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 WEST LAKE CITY ROAD",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "48629",
            "telephone_number": "989-422-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 WEST LAKE CITY ROAD",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "48629",
            "telephone_number": "989-422-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOOSTERHOUT",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MA,LLP,CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002552",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801016909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather R Tonello, P.A.-C
• Township of Markey
• Melissa K Trout, LMSW
• Unity Home Care Services, LLC
• Mary Anne Vanoosterhout, M.S., R.D., CDE
• Tia Vanwinkle
• Shanna Marie Voelker, OTR/L
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2014)
• Wal-Mart Stores East, LP (Vision Center 30-2014)
• Kenneth Paul Watson, QMHP, QIDP, SST

• Clinical Social Worker in Houghton Lake, MI
• Providers in Houghton Lake, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.