Mariana Vandivier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12150 Issued in FL

Practice address

4670 Saint Croix LN
Naples, FL 34109-3540

Phone

(239) 289-8606

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healing Passages LLC

  • Clinical Social Worker
  • Naples, FL
  • NPI 1457853681

  IL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1538678941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 ST.CROIX LANE",
            "address_2": "617",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341094504",
            "telephone_number": "239-289-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 SAINT CROIX LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093540",
            "telephone_number": "239-289-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVIER",
        "first_name": "MARIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allayna Marie Vanderheid, PA-C
• Jennifer Lynn Vanderheid
• Zoe Lynn Vanderheid, PA
• Kimberly Vanderklok, OTR/L
• Kelly Rose Vandeventer
• Martin Vandongen, APRN
• Vanessa Fulton Consultant LLC
• Vanguard Spine and Pain PLLC
• Ariella Vanhara
• Amy Grace Vanosdale, PAC

• Clinical Social Worker in Naples, FL
• Providers in Naples, 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 Sep 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.