Paige F Vanderlick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3617 Issued in LA

Practice address

109 Yorktown Dr
Suite B
Alexandria, LA 71303-3621

Phone

(318) 487-9895

Fax

(318) 767-3339

NPI assigned

Jun 20, 2006

Last updated

Nov 17, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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, 1992

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

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1699711655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 YORKTOWN DR",
            "address_2": "SUITE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033621",
            "telephone_number": "318-487-9895",
            "fax_number": "318-767-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 YORKTOWN DR",
            "address_2": "SUITE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033621",
            "telephone_number": "318-487-9895",
            "fax_number": "318-767-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLICK",
        "first_name": "PAIGE",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "3617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655635",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Van Buren Community Home
• Alaina Christine Van Mol, N. P.
• Kirsten Elizabeth Van Mol, FNP-C
• Lisa Van Mol, N.P.
• Johanna Lee Vanderhoeven, CRNA
• Jennifer Whitney Vanderpool, LPN
• Candy Ann Vandevelde, LPC-S
• Jennifer Varner, B.A, M.A
• Lindsay Taylor Vaughan, PA
• Marisa Vaughn

• Clinical Social Worker in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.