MR. EDWARD RODNEY VANGASS (NPI# 1235380072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235380072 |
| Entity Type | Individual |
| Full Name | MR. EDWARD RODNEY VANGASS |
| Credential | LICSW LCSW MSW |
| Practice Address |
300 S 3rd W Soda Springs ID 83276-1559 |
| Mailing Address |
Po Box 233 Grace ID 83241-0233 |
| Practice Telephone | 2085473341 |
| Practice Fax Number | 2085470703 |
| Mailing Telephone | 4079943662 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
5761409-3501 | UT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
115105 | MA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5761409-3502 | UT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSED INDIDENDENT CLINICAL SOCIAL WORKER | 115105-1 | 01 |
| UT | LICENSED CLINICAL SOCIAL WORKER | 5761409-3501 | 01 |
| FL | LICENSED CLINICAL SOCIAL WORKER | SW12500 | 01 |
| Street Address |
300 S 3RD W |
| City | SODA SPRINGS |
| State | ID |
| Zip Code | 83276-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998261 | Caribou Memorial Hospital | General Acute Care Hospital | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2005-11-03 |
| 1619509783 | David C Telford | Physical Therapist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2020-02-06 |
| 1790244721 | Kevin Courtney Smith | Physical Medicine & Rehabilitation | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2019-03-19 |
| 1467901876 | Aaron Christopher Hobbs | Nurse Practitioner | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2016-09-26 |
| 1184097271 | Ronald Rutten | Physical Therapist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2015-11-11 |
| 1285970582 | Caribou Memorial Hospital | Clinic/Center | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2012-12-14 |
| 1861770414 | Rmc Management, LLC | Surgery | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2011-08-01 |
| 1548493521 | Brenda Bergholm | Clinical Nurse Specialist | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2009-08-25 |
| 1407000466 | Joshua Reed Torman | Nurse Anesthetist, Certified Registered | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2008-11-04 |
| 1154524403 | Caribou Memorial Hospital | Clinic/Center | 300 S 3rd W, Soda Springs, ID 83276-1559 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811390248 | Terry Lee Christensen | Physical Therapy Assistant | 279 E. 3rd N., Soda Springs, ID 83276 | 2014-09-30 |
| 1285049387 | Matthew F Kunz | Dentist | 180 S. Main Street, Soda Springs, ID 83276 | 2014-06-26 |
| 1801086012 | Caribou Memorial Hospital | Specialist | 300 South 3rd West, Soda Springs, ID 83276 | 2007-07-25 |
| 1386681427 | Eron J Evans | Dentist | 390 S 3rd W, Mountain View Dental, Soda Springs, ID 83276 | 2006-05-31 |
| 1154310373 | Jerry H Walker | Dentist | 390 South 3rd West, Soda Springs, ID 83276 | 2005-10-20 |
| 1184022105 | Inner Light Counseling, LLC | Social Worker | 61 E 1st S, Soda Springs, ID 83276 | 2014-12-08 |
| 1710158886 | Mountain View Dental Clinic | Clinic/Center | 390 South 3rd West, Soda Springs, ID 83276 | 2008-03-17 |
| 1730240375 | Sharman Kay Snow | Social Worker | 160 N 1st E, Soda Springs, ID 83276-1203 | 2006-12-13 |
| 1609245612 | Craig Harden Richardson | Specialist/Technologist | 366 N 2nd E, Soda Springs, ID 83276-1218 | 2015-09-20 |
| 1417370388 | Saxton Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 269 N 3rd E, Soda Springs, ID 83276-1226 | 2014-01-29 |
| Find all providers in zip 83276 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730240375 | Sharman Kay Snow | Social Worker | 160 N 1st E, Soda Springs, ID 83276-1203 | 2006-12-13 |
| 1184022105 | Inner Light Counseling, LLC | Social Worker | 61 E 1st S, Soda Springs, ID 83276 | 2014-12-08 |
| 1194085423 | Sherie Ann Flagg | Social Worker | 61 E 1st S, Soda Springs, ID 83276-1437 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171961 | Jill Michelle Chonody | Social Worker | 3134 S Waterbury Ln, Boise, ID 83706-5222 | 2020-10-09 |
| 1750999777 | Deanna Armenia Brent | Social Worker | 7450 W Althea Ct, Boise, ID 83709-1777 | 2020-07-15 |
| 1164040820 | Sylinda Lee Mendenhall | Social Worker | 771 S Jafer Court, Idaho Falls, ID 83401-8404 | 2020-07-09 |
| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1073135851 | Kimberly Ruth Carey | Social Worker | 6160 Dallas Ln, Bonners Ferry, ID 83805-9794 | 2020-05-14 |
| 1497377469 | Raising Resilience Holistic Mental Wellness Inc | Social Worker | 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 | 2020-05-13 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1922627314 | Taresa Dawn Crow | Social Worker | 3655 Samuel St, Ammon, ID 83406-7822 | 2020-04-15 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1467086603 | Abundant Serenity LLC | Social Worker | 925 N Main St Ste A, Meridian, ID 83642-2301 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | SODA SPRINGS |
| Zip Code | 83276 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.