Individual provider Active NPI

Vivian Lynne Ireton, LCSW, LAC

  • Clinical Social Worker
  • Newburgh, IN
National Provider Identifier
1639433345
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006251A Issued in IN
Practice address
5048 S Plaza Dr
Newburgh, IN 47630-3069
Phone
(812) 449-9355
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 86000183A IN
Clinical Social Worker 1041C0700X 34006251A IN Primary

Addresses

Primary practice location

5048 S Plaza Dr
Newburgh, IN 47630-3069

Mailing address

1100 Erie Ave
Unit 705
Evansville, IN 47715-4858
Phone (812) 449-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230830001265 CA Practitioner - Clinical Social Worker 3971895111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lumen Health and Psychological Services Inc.Group PAC ID 5799012266, 26 clinicians

Practice addresses (Care Compare)

8421 Auburn Blvd
Suite 110
Citrus Heights, CA 95610-0392
Phone (916) 531-8359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86000183AINMDAddiction (Substance Use Disorder) Counselor
34006251AINMDClinical Social Worker
114239CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Lumen Health and Psychological Services Inc. CurrentSince Jul 31, 2023 Accepting new patients
Safe Haven LLC Addiction (Substance Use Disorder) PastSince Apr 17, 2018 Accepting new patients

Locations

8421 Auburn Blvd
Ste 110
Citrus Heights, CA 95610
Phone (800) 464-4709

Interoperability endpoints

  • Direct secure messaging: vivianireton@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1639433345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ERIE AVE",
            "address_2": "UNIT 705",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154858",
            "telephone_number": "812-449-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 S PLAZA DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303069",
            "telephone_number": "812-449-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRETON",
        "first_name": "VIVIAN",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "86000183A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006251A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.