Active NPI
Mary Lou Van Hooser, MSW, LISW
- Clinical Social Worker
- Chillicothe, OH
National Provider Identifier
1376645622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I-0009592
- Practice address
- 312 E 2ND St
Chillicothe, OH 45601-2639 - Phone
- (740) 775-1270
- Fax
- (740) 775-1274
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-0009592 | OH | Primary |
Addresses
Primary practice location
312 E 2ND St
Chillicothe, OH 45601-2639
Mailing address
4449 State Route 159
P.O. Box 6179
Chillicothe, OH 45601-8620
Phone (740) 775-1260
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VASW33575 | Other | OH | HIGHLAND |
| VASW33576 | Other | OH | FSC |
| VASW33571 | Other | OH | FAYETTE |
| VASW33574 | Other | OH | ROSS |
| VASW33572 | Other | OH | PICKAWAY |
| VASW33573 | Other | OH | PIKE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| I-0009592 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scioto Paint Valley Mental Health Center | Past | Accepting new patients | |
| Scioto Paint Valley Mental Health Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/spvmhc/r4/
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Chillicothe, OH
- NPI 1255308136
-
- Primary Care Clinic/Center
- Chillicothe, OH
- NPI 1790116747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1376645622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4449 STATE ROUTE 159",
"address_2": "P.O. BOX 6179",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-775-1260",
"fax_number": "740-773-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E 2ND ST",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456012639",
"telephone_number": "740-775-1270",
"fax_number": "740-775-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HOOSER",
"first_name": "MARY",
"middle_name": "LOU",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I-0009592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHLAND",
"identifier": "VASW33575",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FSC",
"identifier": "VASW33576",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAYETTE",
"identifier": "VASW33571",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROSS",
"identifier": "VASW33574",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PICKAWAY",
"identifier": "VASW33572",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIKE",
"identifier": "VASW33573",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.