MS. ELISABETH VAN DER KOLK L.I.C.S.W.
NPI 1487773404
Social Worker - Clinical in Watertown, MA
NPI Status: Active since March 29, 2007
- Individual
- Female
- Social Worker
- Clinical
About ELISABETH VAN DER KOLK
This page provides the complete NPI Profile along with additional information for Elisabeth Van Der Kolk, a provider established in Watertown, Massachusetts with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1487773404 assigned on March 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 102645 (MA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1487773404
- Provider Name
- MS. ELISABETH VAN DER KOLK L.I.C.S.W.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 23 MAIN ST WATERTOWN, MA 02472
- Location Phone
- (617) 312-4116
- Mailing Address
- 156 GREEN STREET #301 JAMAICA PLAIN, MA 02130
- Mailing Phone
- (617) 312-4116
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2007
- Last Update Date
- 07-24-2013
- Code Navigator
A clinical social worker like Elisabeth Van Der Kolk 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.
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.
- 102645
- License State
- MA
- 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:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P21941 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | MEDICARE |
| 459408 | OTHER (01) | MA | TUFTS HEALTH PLAN |
| VAP03254 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD |
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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 | 4 | 8 | 7 | 7 | 7 | 3 | 4 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 14 | 7 | 6 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 4 + 7 + 6 + 4 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1487773404 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811945843 | MS. ELEANOR KATHERINE EGAN M.ED LMHC Individual | Counselor (Mental Health) | 23 MAIN ST WATERTOWN, MA 02472 (617) 435-6714 |
| 1013964899 | JOSE AUGUSTO HIDALGO M.D. Individual | Psychiatry & Neurology (Psychiatry) | 23 MAIN ST 2ND FLOOR WATERTOWN, MA 02472 (617) 413-1552 |
| 1497813299 | DEIRDRE FAY MSW, LICSW Individual | Social Worker (Clinical) | 23 MAIN ST CTR INTEGRATIVE HEALING 2ND FLOOR WATERTOWN, MA 02472 (617) 923-1930 |
| 1851458772 | DR. JANINA FISHER PHD Individual | Psychologist (Clinical) | 23 MAIN ST 2ND FLR WATERTOWN, MA 02472 (617) 924-4646 |
| 1700912037 | HILARY GRAHAM LMHC Individual | Counselor (Mental Health) | 23 MAIN ST WATERTOWN, MA 02472 (617) 680-0582 |
| 1407620420 | LIZ LOVELESS LMHC Organization | Clinic/Center (Adolescent and Children Mental Health) | 23 MAIN ST WATERTOWN, MA 02472 (508) 657-4289 |
| 1952488553 | LORI S CIGNARELLA LICSW Individual | Social Worker (Clinical) | 23 MAIN ST WATERTOWN, MA 02472 (207) 332-6671 |
| 1356170310 | EKCOUNSELING, LLC Organization | Community/Behavioral Health | 23 MAIN ST WATERTOWN, MA 02472 (781) 570-3498 |
| 1508328212 | ELLIS WEAVER LMHC Individual | Counselor (Mental Health) | 23 MAIN ST WATERTOWN, MA 02472 (781) 570-3498 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487773404, enumerated in the NPI registry as an "individual" on March 29, 2007
The provider is located at 23 Main St Watertown, Ma 02472 and the phone number is (617) 312-4116
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 29, 2007. 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].
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