Vanda Theophin-Michel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8537 Issued in FL

Practice address

21033 Pine Knot LN
Land O Lakes, FL 34637-7827

Phone

(919) 339-8611

Fax

(919) 400-4210

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allina Health System

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  Medicare reassignment NPD
• Allina Health System

  • Clinic/Center
  • Chaska, MN
  • NPI 1104122555
  NPD
• Allina Health System

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  NPD
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  NPD (past)
• Family Institute for Recovery & Empowerment

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1144569344
  NPD (past)
• Kingdom Healthcare Inc.

  • Case Management Agency
  • Louisburg, NC
  • NPI 1669646733
  NPD (past)
• Ridgeview Medical Center

  • General Acute Care Hospital
  • Waconia, MN
  • NPI 1275608457
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1487787610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21033 PINE KNOT LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377827",
            "telephone_number": "919-339-8611",
            "fax_number": "919-400-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21033 PINE KNOT LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346377827",
            "telephone_number": "919-339-8611",
            "fax_number": "919-400-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOPHIN-MICHEL",
        "first_name": "VANDA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007310",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768216600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Thayer, M.S. CCC-SLP
• The Care Specialist Group LLC
• The Growth Center,PLLC
• The School Board of Pasco County, Florida
• The Well Counseling Services of Tampa Bay
• Therapeutic Counseling Services, LLC
• Crystal Thomas Fearing
• Clarice Thomas Roberts, LMHC, CAP, CPP, RN
• Helen Jo Thomas, C.S.T.
• Cynthia P Thompson, PT

• Clinical Social Worker in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.