Active NPI
Cornell Abraxas Group, LLC
- Clinical Social Worker
- Vincennes, IN
National Provider Identifier
1437063302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CORNELL ABRAXAS GROUP, LLC
- Practice address
- 2290 S Theobald LN
Vincennes, IN 47591-8027 - Phone
- (800) 227-2927
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- Yes
- Parent organization
- ABRAXAS ALLIANCE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Vogt
- Title
- Business Manager
- Phone
- (419) 747-3322
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Registered Nurse | 163W00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
2290 S Theobald LN
Vincennes, IN 47591-8027
Mailing address
2290 S Theobald LN
Vincennes, IN 47591-8027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1437063302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 S THEOBALD LN",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475918027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 S THEOBALD LN",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475918027",
"telephone_number": "800-227-2927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNELL ABRAXAS GROUP, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ABRAXAS ALLIANCE, INC.",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "VOGT",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "419-747-3322"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.