Ilene J Vangilder, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

126252 Issued in PA

Practice address

1951 Pine Hall Rd Ste 225
State College, PA 16801-5107

Phone

(814) 237-0001

Fax

(814) 237-0116

NPI assigned

Apr 3, 2012

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oasis Lifecare LLCGroup PAC ID 2860796323, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/diakon/r4/

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.

• Oasis Lifecare LLC

  • Psychiatry Physician
  • State College, PA
  • NPI 1013398130
  Medicare reassignment Care Compare group NPD
• Diakon Child, Family & Community Ministries

  • Community/Behavioral Health Agency
  • Williamsport, PA
  • NPI 1861802035
  Medicare reassignment NPD
• Diakon Child, Family & Community Ministries

  dba Diakon Family Life Services

  • Community/Behavioral Health Agency
  • New Bloomfield, PA
  • NPI 1053721191
  NPD
• Diakon Child, Family and Community Ministries

  dba Diakon Family Life Service

  • Community/Behavioral Health Agency
  • Montoursville, PA
  • NPI 1467821207
  NPD

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1679839765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 PINE HALL RD STE 225",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015107",
            "telephone_number": "814-237-0001",
            "fax_number": "814-237-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 PINE HALL RD STE 225",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015107",
            "telephone_number": "814-237-0001",
            "fax_number": "814-237-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGILDER",
        "first_name": "ILENE",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "126252",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Van Gent, MA, LAPC, NCC
• Katrina Van Hoof, MED
• John R. Van Kirk Jr., M.D.
• Claire Elizabeth Van Ogtrop, LCSW LICENSED CLINIC
• Satish Kumar Vangala, MD
• Sonia Paige Vanhorn
• Erin R Vanness, MD
• Nancy Carroll Vansaun, LCSW
• Taylor Brooke Varela, DO
• Vassar Integrative Psychiatry PLLC

• Social Worker in State College, PA
• Providers in State College, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.