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STEPHANIE DENISE VANDALL LISW-S LICDC NPI 1548411754


NPI Information

NPI: 1548411754
Provider Name: STEPHANIE DENISE VANDALL, LISW-S, LICDC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
750 E LONG ST
COLUMBUS, OH
ZIP 43203
Phone: (614) 340-6700
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Stephanie Denise Vandall, LISW-S, LICDC is a clinical social worker in Columbus, OH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Stephanie Denise Vandall, LISW-S, LICDC NPI is 1548411754. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

750 E LONG ST
COLUMBUS, OH
ZIP 43203-846
Phone: (614) 340-6700

The NPI 1548411754 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/7/2008 and was last updated on 5/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerS.0800340OHIONo
2104100000XSocial WorkerS0800340OHIONo
31041C0700XSocial WorkerClinicalI1000202OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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