THERESA VIOLA VAN DOOTINGH MSW, LISW
NPI 1336859230
Social Worker in Columbus, OH

Q: What is Theresa Van Dootingh's NPI number?

The NPI number for Theresa Van Dootingh is 1336859230. It was assigned to this individual provider in the NPPES registry on December 1, 2022.

Q: What is Theresa Van Dootingh's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since December 01, 2022PECOS EnrolledAccepts Medicare Assignment

1490 E MAIN ST, COLUMBUS, OH 43205(614) 653-3090 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Theresa Viola Van Dootingh Msw, Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA VIOLA VAN DOOTINGH MSW, LISW (NPI 1336859230) is an individual social worker in Columbus, Ohio, licensed in Ohio (I.2102985) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336859230

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTHERESA VIOLA VAN DOOTINGHCredential: MSW, LISW

Location Address1490 E MAIN STColumbus, OH 43205-2140

Mailing Address1490 E Main StColumbus, OH 43205-2140

Phone(614) 653-3090

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 1, 2022

NPPES CertifiedNovember 11, 2022

✔ NPI 1336859230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in OH · I.2102985

Definition

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.

1490 E MAIN ST, Columbus, OH 43205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Viola Van Dootingh Msw, Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729594734

PECOS Enrollment IDI20250717003220

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Van Dootingh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maryhaven Inc.

2.2 mi

Community/Behavioral Health

1791 ALUM CREEK DR
Columbus, OH 43207

Reassigned Medicare billing, Ohio enrollment
26 clinicians in this Medicare group

NPI 1245290436 (614) 324-5402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARIKA THOMAS

Case Manager/Care Coordinator