Gary Owen Anderson
Individual provider Active NPI Clinical Social Worker · Clinton, IN
NPI 1467089656 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1467089656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 34008561A (IN)
- Practice address
- 777 S Main St Ste 100
Clinton, IN 47842-2493 - Phone
- (765) 828-1003
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valley Professionals Community Health Center Inc
Practice addresses (Care Compare)
777 S Main St
Suite 100
Clinton, IN 47842-2493
Phone (765) 828-1003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211012001315 | IN | Practitioner - Clinical Social Worker | 2264830819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Professionals Community Health Center Inc | Current |
Accepting new patients | |
| Valley Professionals Community Health Center, Inc. | Current |
Accepting new patients |
Locations
703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042
777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003
1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400
727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123
4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289
1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631
601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34008561A | IN | Yes |
Addresses
Primary practice location
777 S Main St Ste 100
Clinton, IN 47842-2493
Mailing address
777 S Main St Ste 100
Clinton, IN 47842-2493
Phone (765) 828-1003
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ganderson@vpchc.org | Direct | Valley Professionals Community Health Center Inc |
Other providers in Clinton, IN
- Aa & S Health PC
- Aa&S Health
- Allied Community Transportation, LLC
- Associated Physicians & Surgeons Clinic, LLC
- Nichole Lynn Barnett
- Jessica N Bekkering
- Binder Chiropractic
- Binder Health LLC
All providers in Clinton, IN · Clinical Social Worker in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.