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

Contact Information

23 MAIN ST
WATERTOWN, MA
ZIP 02472
Phone: (617) 312-4116

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  • 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 13 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
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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.

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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
P21941MEDICARE ID-TYPE UNSPECIFIED (04)MAMEDICARE
459408OTHER (01)MATUFTS HEALTH PLAN
VAP03254OTHER (01)MABLUE CROSS BLUE SHIELD

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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 1487773404, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 7 → 14 → 5 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 4 + 7 + 6 + 4 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1487773404.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Counselor (Mental Health)
23 MAIN ST
WATERTOWN, MA 02472
Psychiatry & Neurology (Psychiatry)
23 MAIN ST, 2ND FLOOR
WATERTOWN, MA 02472
Social Worker (Clinical)
23 MAIN ST, CTR INTEGRATIVE HEALING 2ND FLOOR
WATERTOWN, MA 02472
Psychologist (Clinical)
23 MAIN ST, 2ND FLR
WATERTOWN, MA 02472
Counselor (Mental Health)
23 MAIN ST
WATERTOWN, MA 02472
Clinic/Center (Adolescent and Children Mental Health)
23 MAIN ST
WATERTOWN, MA 02472
Social Worker (Clinical)
23 MAIN ST
WATERTOWN, MA 02472
Community/Behavioral Health
23 MAIN ST
WATERTOWN, MA 02472
Counselor (Mental Health)
23 MAIN ST
WATERTOWN, MA 02472

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487773404, enumerated 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.

Social Worker with taxonomy code 1041C0700X and 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 verify.