Jan Michele Van Choff, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C8228 Issued in MS

Practice address

2059 E Pass Rd Ste 4
Gulfport, MS 39507-3761

Phone

(228) 314-3626

NPI assigned

Sep 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1831569235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 DANIEL BLVD STE E",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034744",
            "telephone_number": "228-314-3626",
            "fax_number": "228-314-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 E PASS RD STE 4",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073761",
            "telephone_number": "228-314-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CHOFF",
        "first_name": "JAN",
        "middle_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-29",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "13093",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9156",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08856031",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krysten Vagedes
• Carmenza Marcella Valderrama, M.D.
• Shaunacey Valdez, LMT
• Maria Valencia-Lopez, DO
• Valor Psychotherapy LLC
• Kadence Vandevelde
• Lauren Vankirk, MS CCC-SLP
• Jamie B Varnado, LCSW
• Brittany Jones Varney, DMD
• Amanda Vasilion, M.ED.

• Clinical Social Worker in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.