Bradley Ross Vanover, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25499 Issued in MN

Practice address

1407 S State St
New Ulm, MN 56073-3715

Phone

(507) 354-3181

Fax

(507) 354-3183

NPI assigned

Oct 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1316413099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CYPRESS DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017575",
            "telephone_number": "316-303-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 S STATE ST",
            "city": "NEW ULM",
            "state": "MN",
            "postal_code": "560733715",
            "telephone_number": "507-354-3181",
            "fax_number": "507-354-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOVER",
        "first_name": "BRADLEY",
        "middle_name": "ROSS",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phong Thanh Truong
• Sumathi Vaidhyanathaswamy, M.B.B.S
• Melanie Lynn Van Hon, P.T.
• Jesse Van Leeuwe, LMFT
• Ellen M Vancura, MD
• Randall Verschaetse, D.C.
• Ann C. Vogel, M.D.
• Brandy Nichole Volk
• Cheryl Thomson Wachman, M.S. CCC SLP
• Steven D Wachter, DPM

• Clinical Social Worker in New Ulm, MN
• Providers in New Ulm, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.