Jo L. Vanderkloot LCSW, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-029237-1 Issued in NY

Legal business name

JO L. VANDERKLOOT LCSW, P.C.

Practice address

83 Onderdonk Rd
Warwick, NY 10990-2909

Phone

(845) 986-3560

Fax

(845) 986-0255

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jo L Vanderkloot, MSW

Title

President

Phone

(845) 986-3560

Specialties & licenses 1

Addresses

Other names 1

• Jo L. VanderKloot CSW, P.C. Former legal business name

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1922286079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ONDERDONK RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902909",
            "telephone_number": "845-986-3560",
            "fax_number": "845-986-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ONDERDONK RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902909",
            "telephone_number": "845-986-3560",
            "fax_number": "845-986-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO L. VANDERKLOOT LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "VANDERKLOOT",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-986-3560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-029237-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jo L. VanderKloot CSW, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Warwick, NY
• Providers in Warwick, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.