Individual provider Active NPI

Richard C Voorhees, LCSW, LMFT

  • Clinical Social Worker
  • Winamac, IN
National Provider Identifier
1407047186
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003071A Issued in IN
Practice address
118 N Sally Dr
Winamac, IN 46996-9100
Phone
(574) 946-4233
Fax
(574) 946-4365
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34003071A IN Primary
Marriage & Family Therapist 106H00000X 35001018A IN

Addresses

Primary practice location

118 N Sally Dr
Winamac, IN 46996-9100

Mailing address

800 N Fulton St
Attn: Anne Lawson - Credentialing
Logansport, IN 46947-1577
Phone (574) 205-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000214 IN Practitioner - Clinical Social Worker 9537231147 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34003071AINMDClinical Social Worker
35001018AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Pulaski Memorial Hospital CurrentSince Apr 1, 2015 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Feb 19, 2024 Accepting new patients
Pulaski Memorial Hospital CurrentSince Apr 1, 2015 Accepting new patients

Locations

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1201 Michigan Ave
Ste 330
Logansport, IN 46947
Phone (574) 753-4151

1201 Michigan Ave
Ste 170
Logansport, IN 46947
Phone (574) 722-4331

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

613 Terrace Dr
Winamac, IN 46996
Phone (574) 946-4290

Interoperability endpoints

  • Direct secure messaging: richardvoorhees@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1407047186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N FULTON ST",
            "address_2": "ATTN: ANNE LAWSON - CREDENTIALING",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471577",
            "telephone_number": "574-205-2600",
            "fax_number": "574-739-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N SALLY DR",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469969100",
            "telephone_number": "574-946-4233",
            "fax_number": "574-946-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOORHEES",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003071A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001018A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winamac, IN

Sources for this page

Verify at the official NPI Registry.