Unknown Individual – Clinical Social Worker, NPI 1316976400
Clinical Social Worker
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
102 S WINOOSKI AVE
BURLINGTON, VT 054017406
Phone: (802) 488-6920
Type: Mailing
Vermont Community Access Media, 208, Flynn Avenue, South end, Burlington, Chittenden County, Vermont, 05401, United States
SUITE 3J
BURLINGTON, VT 054015429
Phone:
Type: Mailing
855, Pine Street, The Addition, Burlington, Chittenden County, Vermont, 05401, United States
BURLINGTON, VT 054014924
Phone: (802) 865-6148
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 136 | 12 | $0 |
Insurance plans in this area (ZIP 05401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VT | |
| Clinical Social Worker | VT | |
| Clinical Social Worker | VT | |
| - | VT | |
| Mental Health Counselor | VT | |
| - | VT | |
| Mental Health Counselor | VT | |
| Mental Health Counselor | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT |
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