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

Theresa Viola Van Dootingh, MSW, LISW

Individual provider Social Worker · NPI 1336859230

Theresa Viola Van Dootingh, MSW, LISW is a Clinical Social Worker in Columbus, Ohio. Qualified in 2018, 8 years ago. Practices with Maryhaven Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1490 E Main St
Columbus, OH 43205-2140
Phone: (614) 653-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I.2102985 (OH)

Record details

NPI number1336859230
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LISW
Sole proprietorNo
NPI enumeratedDecember 1, 2022
Last updated in NPPESDecember 1, 2022
Certification dateNovember 11, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Maryhaven Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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