VINCENT R TAFOLLA LMSW
NPI 1093155335
Social Worker in Wellington, KS
NPI Status: Active since July 01, 2013
Contact Information
1601 W 16TH ST
WELLINGTON, KS
ZIP 67152
Phone: (620) 326-7448
Fax: (620) 326-6662
- Individual
- Male
- Social Worker
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About VINCENT TAFOLLA
This page provides the complete NPI Profile along with additional information for Vincent Tafolla, a provider established in Wellington, Kansas with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1093155335 assigned on July 2013. The practitioner's primary taxonomy code is 104100000X with license number 8864 (KS). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1093155335
- Provider Name
- VINCENT R TAFOLLA LMSW
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1601 W 16TH ST WELLINGTON, KS 67152
- Location Phone
- (620) 326-7448
- Location Fax
- (620) 326-6662
- Mailing Address
- 1601 W 16TH ST WELLINGTON, KS 67152
- Mailing Phone
- (620) 326-7448
- Mailing Fax
- (620) 326-6662
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-01-2013
- Last Update Date
- 05-13-2014
- Code Navigator
A social worker like Vincent Tafolla helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
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. Vincent Tafolla opted out of Medicare effective on 05-06-2017 until 05-06-2027. 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 but is permitted to 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
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 8864
- License State
- KS
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare EPO Bronze - EPO
- BlueCare EPO Gold - EPO
- BlueCare EPO Gold Plus - EPO
- BlueCare EPO Silver Plus - EPO
- BlueCare EPO Simple Bronze HDHP - EPO
- BlueCare EPO Simple Silver HDHP - EPO
- BlueCare EPO Standardized Expanded Bronze - EPO
- BlueCare EPO Standardized Gold - EPO
- BlueCare EPO Standardized Silver - EPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Vincent Tafolla is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-06-2017
Opt-Out End Date: 05-06-2027
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for VINCENT R TAFOLLA LMSW
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093155335, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WELLINGTON, KS 67152
WELLINGTON, KS 67152
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093155335, enumerated as an "individual" on July 01, 2013.
The provider is located at 1601 W 16TH ST WELLINGTON, KS 67152 and the phone number is (620) 326-7448.
Social Worker with taxonomy code 104100000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc. and. Please consult your insurance carrier or call the provider to verify.
