Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ken R Yoder, LCSW

Individual provider Clinical Social Worker · NPI 1104866920

Ken R Yoder, LCSW is a Clinical Social Worker in Goshen, Indiana. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1974, 52 years ago. Practices with Oaklawn Psychiatric Center Inc, a 68-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
52
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IN
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

330 Lakeview Dr
Goshen, IN 46528-9365
Phone: (574) 533-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34000514A (IN)

Record details

NPI number1104866920
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 8, 2006
Last updated in NPPESAugust 8, 2011
Mailing address330 Lakeview Dr, Goshen, IN 46528-9365

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1974 (52 years in practice)
Group practice Oaklawn Psychiatric Center Inc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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