Individual provider Active NPI

Michael Greg Vangorder, LMSW

  • Clinical Social Worker
  • Charles City, IA
National Provider Identifier
1871847780
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06588 Issued in IA
Practice address
216 N Main St
Charles City, IA 50616-2017
Phone
(641) 228-2050
NPI assigned
Oct 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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 06588 IA Primary

Addresses

Primary practice location

216 N Main St
Charles City, IA 50616-2017

Mailing address

216 N Main St
Charles City, IA 50616-2017
Phone (641) 228-2050

Other names 1

  • Mr. Mike Greg Van Gorder Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181211002710 IA Practitioner - Clinical Social Worker 0941544357 Reassigns benefits to 1 organization
I20260408002987 TX Practitioner - Clinical Social Worker 0941544357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Virtual CareGroup PAC ID 5991176356, 40 clinicians
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

240 N Miller Rd
Mansfield, TX 76063-5842
Phone (214) 432-8322

921 Sunset Dr
Norwalk, IA 50211-1425
Phone (515) 981-0604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06588IAMDClinical Social Worker

Organizations & group practices 2

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1871847780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N MAIN ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162017",
            "telephone_number": "641-228-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MAIN ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162017",
            "telephone_number": "641-228-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGORDER",
        "first_name": "MICHAEL",
        "middle_name": "GREG",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "06588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "VAN GORDER",
            "middle_name": "GREG",
            "prefix": "MR.",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charles City, IA

Sources for this page

Verify at the official NPI Registry.