Individual provider Active NPI

Gao Chee Vang, LGSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1992303655
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24757 Issued in MN
Practice address
311 Ramsey St Ste 105
Saint Paul, MN 55102-2323
Phone
(651) 408-5069
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 24757 MN Primary

Addresses

Primary practice location

311 Ramsey St Ste 105
Saint Paul, MN 55102-2323

Mailing address

2155 Mohawk Rd E
North Saint Paul, MN 55109-1727
Phone (651) 500-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20220527001546 MN Practitioner - Clinical Social Worker 0446638787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vibrant Life Therapy, LLCGroup PAC ID 3274998596, 2 clinicians

Practice addresses (Care Compare)

2205 White Bear Ave N
Suite 125
Maplewood, MN 55109-2707
Phone (651) 208-9409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitamind Psychotherapy Wellness PLLC Clinical Current Accepting new patients
Vibrant Life Therapy LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

2205 White Bear Ave N
Ste 125
Maplewood, MN 55109
Phone (651) 208-9409

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1992303655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 MOHAWK RD E",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551091727",
            "telephone_number": "651-500-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 RAMSEY ST STE 105",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022323",
            "telephone_number": "651-408-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "GAO",
        "middle_name": "CHEE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "24757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.