Individual provider Active NPI

Jessica Lynn Vanhorn, LLMSW, CADC

  • Clinical Social Worker
  • Midland, MI
National Provider Identifier
1659888329
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801101099 Issued in MI
Practice address
220 W Main St Ste 104
Midland, MI 48640-5184
Phone
(989) 631-0241
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 6801101099 MI Primary

Addresses

Primary practice location

220 W Main St Ste 104
Midland, MI 48640-5184

Mailing address

220 W Main St Ste 104
Midland, MI 48640-5184
Phone (989) 631-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801101099MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ten 16 Recovery Network CurrentSince Jul 1, 2024 Accepting new patients
Community Mental Health for Central Michigan Clinical CurrentSince Dec 30, 2024 Accepting new patients
Ten Sixteen Recovery Network CurrentSince Jul 1, 2024 Accepting new patients

Locations

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

133 N Saginaw Rd
Midland, MI 48640
Phone (989) 631-0241

133 N Saginaw Rd
#Ten16
Midland, MI 48640
Phone (989) 631-0241

218 Fast Ice Dr
Midland, MI 48642
Phone (989) 631-2320

301 S Crapo St
Ste 1
Mount Pleasant, MI 48858

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1659888329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST STE 104",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405184",
            "telephone_number": "989-631-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST STE 104",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405184",
            "telephone_number": "989-631-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHORN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LLMSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801101099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.