MR. RICHARD VELA MSW/LCSW
NPI 1356758270
Social Worker - Clinical in Tomah, WI
NPI Status: Active since July 14, 2014
- Individual
- Male
- Social Worker
- Clinical
- Accepts Insurance
- Opted-Out Medicare
About RICHARD VELA
This page provides the complete NPI Profile along with additional information for Richard Vela, a provider established in Tomah, Wisconsin with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1356758270 assigned on July 2014. The practitioner's primary taxonomy code is 1041C0700X with license number 8106-123 (WI). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1356758270
- Provider Name
- MR. RICHARD VELA MSW/LCSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 E VETERANS ST TOMAH, WI 54660
- Location Phone
- (608) 567-8374
- Mailing Address
- 500 E VETERANS ST TOMAH, WI 54660
- Mailing Phone
- (608) 567-8374
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-14-2014
- Last Update Date
- 07-14-2014
- Code Navigator
A clinical social worker like Richard Vela is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Richard Vela opted out of Medicare effective on 01-03-2024 until 01-03-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 8106-123
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
- Essentia Choice Care with Medica Bronze HSA - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-03-2024
Opt-Out End Date: 01-03-2026
Eligible to Order and Refer? No
Reviews for MR. RICHARD VELA MSW/LCSW
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 7 | 5 | 8 | 2 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 14 | 5 | 16 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 4 + 5 + 1 + 6 + 2 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1356758270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629063268 | MRS. KATHRYN ANN SCHAMS MSN, APRN, BC Individual | Nurse Practitioner | 500 E VETERANS ST VA MEDICAL CENTER TOMAH, WI 54660 (608) 372-1708 |
| 1427021252 | DR. DAVID JOHN HOULIHAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-1778 |
| 1922063965 | MR. JEFFREY ROBERT DARNELL LCSW Individual | Social Worker (Clinical) | 500 E VETERANS ST 425/7 TOMAH, WI 54660 (800) 872-8662 |
| 1598719726 | DR. ANJELA KAY KROME O.D. Individual | Optometrist | 500 E VETERANS ST TOMAH, WI 54660 (800) 872-8662 |
| 1285680165 | MR. ROBERT S JUNE MA Individual | Audiologist-Hearing Aid Fitter | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-1291 |
| 1699717348 | DR. GARY JAMES LOETHEN PH.D. Individual | Psychologist (Clinical) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-3971 |
| 1134161417 | DR. JEFFREY R DURBIN PH.D. Individual | Psychologist (Clinical) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-3971 |
| 1427092204 | MS. KATHLEEN R LOETHEN M.S., C.R.C., L.P.C. Individual | Counselor (Professional) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-3971 |
| 1417991019 | DR. FRANK DOMENIC MARCANTONIO DMD Individual | Dentist (General Practice) | 500 E VETERANS ST DENTAL DEPT./160 TOMAH, WI 54660 (608) 372-3971 |
| 1588609036 | MRS. SHANNON LEE UTESCH D.P.T Individual | Physical Therapist | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-3971 |
| 1467497040 | MR. CHARLES DANIEL GODFREY PA-C Individual | Physician Assistant | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-1798 |
| 1982640272 | DR. BRANDON SCOTT HAYES PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 500 E VETERANS ST TOMAH, WI 54660 (800) 872-8662 |
| 1851327027 | LAUREEN RENEE SAVAGE PHARMD Individual | Pharmacist (Pharmacotherapy) | 500 E VETERANS ST TOMAH, WI 54660 (800) 372-8662 |
| 1639105653 | SUSAN MARIE SCHMITZ R.N. Individual | Registered Nurse (Psychiatric/Mental Health) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-1182 |
| 1699702803 | DR. MICHAEL JOHN BRANDT PH.D. Individual | Psychologist (Clinical) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-1761 |
| 1871520668 | MR. STEPHEN JOHN HAUGEN PA Individual | Physician Assistant (Medical) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-1761 |
| 1679500383 | MELINDA S CHALLONER MS, CCC-A Individual | Audiologist | 500 E VETERANS ST VA MEDICAL CENTER TOMAH, WI 54660 (608) 372-1291 |
| 1063449619 | DR. DOUGLAS JOHN LANSKA M.D. Individual | Psychiatry & Neurology (Neurology) | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-1789 |
| 1407884745 | MRS. MARSHA K HARTMANN COTA Individual | Occupational Therapy Assistant | 500 E VETERANS ST TOMAH, WI 54660 (608) 372-3971 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356758270, enumerated in the NPI registry as an "individual" on July 14, 2014
The provider is located at 500 E Veterans St Tomah, Wi 54660 and the phone number is (608) 567-8374
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 03, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 03, 2026.
This NPI record was last updated on July 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.