Charles E. Vanhorn, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0009470-SUPV Issued in WV

Practice address

305 1/2 4TH St
Suite 11
Parkersburg, WV 26101-5396

Phone

(304) 481-1357

NPI assigned

Feb 28, 2007

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Charles E. Vanhorn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1518070630
  NPD (past)
• The Counseling Source Foundation, Inc.

  • Clinical Neuropsychologist
  • Cincinnati, OH
  • NPI 1992955140
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1619004215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 1/2 4TH ST",
            "address_2": "SUITE 11",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015396",
            "telephone_number": "304-481-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 1/2 4TH ST",
            "address_2": "SUITE 11",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015396",
            "telephone_number": "304-481-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "CHARLES",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "I.0009470-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "VANHORN",
            "middle_name": "E.",
            "prefix": "MR.",
            "credential": "LICSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul E Vandyke, MD
• Tyra Vandyke
• Lynn A Vanfossen, LPC
• Roger S Vanfossen, PA-C
• Katelyn Marie Vanhoose
• Aaron Vann, MA, LPC
• Aaron Joshua Vann
• Patricia Vann, PHD, LPC
• Bradon Vannoy
• Kristina Vannoy

• Clinical Social Worker in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.