Good Samaritan Hospital is a Community/Behavioral Health Agency based in Vincennes, IN. Good Samaritan Hospital practices in Petersburg, IN. The NPI Number for Good Samaritan Hospital is 1952309528 and holds a License No. 4030 (Indiana).
The current practice location address for Good Samaritan Hospital is 611 E Main St, Petersburg, IN and can be reached out via phone at 812-354-8785 and via fax at 812-354-8786.
Location: 611 E Main St, Petersburg, IN, 47591-1034
Provider Profile Details
NPI Number
1952309528
Provider Name
Good Samaritan Hospital
Credential
Provider Entity Type
Organization
Address
611 E Main St, Petersburg, IN, 47591-1034
Phone Number
812-354-8785
Fax Number
812-354-8786
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165526 | 01 | IN | MHN GROUP |
| 192466000 | 01 | IN | MAGELLAN |
| 000000574039 | 01 | IN | ANTHEM PIN FOR THIS LOCATION |
| 301936 | 01 | IN | VALUE OPTIONS FACILITY |
| 100270140C | 05 | IN | |
| 100270140G | 05 | IN |
Provider Business Practice Location Address Details
Address
611 E Main St
City
State
Zip
47567-1267
Phone Number
812-354-8785
Fax Number
812-354-8786
Provider Business Mailing Address Details
Address
611 E Main St
City
State
Zip
47567-1267
Phone Number
812-354-8785
Fax Number
812-354-8786
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
4030CMHC (Indiana)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4030 (Indiana)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
4030 (Indiana)
Definition
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.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
License No.
4030 (Indiana)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Provider's Taxonomy Details 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
4030 (Indiana)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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