Individual provider Active NPI

Joshua Grant Vaal, MSW, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1508364217
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007889A Issued in IN
Practice address
1146 Washington SQ
Evansville, IN 47715-6809
Phone
(812) 425-2662
NPI assigned
Jan 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34007889A IN Primary

Addresses

Primary practice location

1146 Washington SQ
Evansville, IN 47715-6809

Mailing address

4404 Wethersfield Dr
Evansville, IN 47725-8700
Phone (812) 453-4202

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
I20180405002194 IN Practitioner - Clinical Social Worker 7810250719 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517097600000",
    "number": "1508364217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 WETHERSFIELD DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477258700",
            "telephone_number": "812-453-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 WASHINGTON SQ",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156809",
            "telephone_number": "812-425-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAAL",
        "first_name": "JOSHUA",
        "middle_name": "GRANT",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007889A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.