Active NPI
Michael Greg Vangorder, LMSW
- Clinical Social Worker
- Charles City, IA
National Provider Identifier
1871847780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06588 | IA | MD | Clinical 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1942951199
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.