Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124141064 Deactivated / Inactive NPI Male Practitioner

Larry Cleveland Vann , CASAC

Case Manager/Care Coordinator • Albany, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Larry Vann has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 07, 2007
NPI Deactivation Date May 31, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Larry Vann, CASAC was a registered Case Manager/Care Coordinator practicing in Albany, NY. Throughout an active medical career spanning 10 years, Larry Vann provided care at the practice location at 64 2ND AVE until profile deactivation on 2017-05-31.

Practice Location & Contact Primary Location

Practice Address

64 2nd Ave

Albany, NY 122021240

Telephone 5184495170
Fax 5185980493
Associated Practice Facility / Clinic
🏢 St Peters Health Partners Facility NPI 1326469008

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Albany, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
28 Specialists

Practicing in Albany, NY (8336 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License NY 17245

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Monique Lochan , MASTER CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1003649245

MASTERCASAC

Phyllis Fusco , CTRS

Counselor - Addiction (Substance Use Disorder)

NPI 1053629113
Wayne Griffith , AAS

Counselor - Addiction (Substance Use Disorder)

NPI 1124245055
Danielle Towers , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1215346549

Registered Nurse

Kyle Ditullio , CASAC-T

Counselor - Addiction (Substance Use Disorder)

NPI 1275760852

CASACT

Juan Santacruz

Counselor - Addiction (Substance Use Disorder)

NPI 1295091114

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 31, 2017

Record deactivated on May 31, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 64 2ND AVE, ALBANY, NY 122021240 (Tel: 5184495170)

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Updated Business Mailing Address July 08, 2007

Registered at 1 BLEECKER TER APT 109, ALBANY, NY 122061955 (Tel: 5182214929)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY VANN, CASAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Case Manager/Care Coordinator (License #17245 in NY)

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Initial NPI Registration & Enumeration April 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124141064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2007
Last Update: July 08, 2007
Deactivation Date: May 31, 2017

Mailing Address

1 Bleecker Ter Apt 109

Albany, NY 122061955

Phone: 5182214929

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.