MR. CALEB JOHN SHEPHERD (LICSW) – Clinical Social Worker, NPI 1043377070
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
436 CLINICAL SOCIAL WORKER in VT
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Provider Addresses for MR. CALEB JOHN SHEPHERD (LICSW)
Ottauquechee Health Center, 32, Pleasant Street, Village of Woodstock, Woodstock, Windsor County, Vermont, 05091, United States
WOODSTOCK, VT 050911122
Phone: (802) 778-0941
Type: Location
32 Pleasant St
Woodstock, VT 050911122
Phone: (802) 778-0941
Type: Location
465, New Boston Road, New Boston, Norwich, Windsor County, Vermont, 05055, United States
NORWICH, VT 050559681
Phone: (802) 778-0941
Type: Mailing
320 MAIN ST # 3A
NORWICH, VT 050554418
Phone: (802) 778-0941
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150929002358 | I | Clinical Social Worker | VT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05091)
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