Active NPIIndividual provider

Ms. Bridget Leicester, LICSW

Social Worker, Clinical in Rutland, Vermont

NPI Number1063448694
Practice location
90 Mahoney Ave, Psychiatry & Psychotherapy Assocs, Rutland, VT 05701-0000
Fax
802-775-3395
Last updated
July 8, 2007

Bridget Leicester is a Social Worker, Clinical based in Rutland, VT. Bridget Leicester practices in Rutland, VT and has the professional credentials of LICSW. The NPI Number for Bridget Leicester is 1063448694 and holds a License No. 089-0000928 (VT). The current practice location address for Bridget Leicester is 90 Mahoney Ave, Psychiatry & Psychotherapy Assocs, Rutland, VT 05701-0000 and can be reached out via phone at 802-775-2581 and via fax at 802-775-3395.

Provider Profile Details

NPI Number
1063448694
Provider Name
Bridget Leicester
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
90 Mahoney Ave, Psychiatry & Psychotherapy Assocs, Rutland, VT 05701-0000
Phone Number
802-775-2581
Fax Number
802-775-3395
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
90 Mahoney Ave
Psychiatry & Psychotherapy Assocs
Rutland, VT 05701-0000
State
Vermont
Zip
05701-0000
Phone Number
802-775-2581
Fax Number
802-775-3395
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
Po Box 305
Proctorsville, VT 05153-0000
City
Proctorsville
State
VT
Zip
05153-0000
Phone Number
802-226-7450

License Information

License Number (1)
089-0000928
License State (1)
VT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
R042998-1
License State (2)
NY
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Bridget Leicester, LICSW?

The NPI number of Ms. Bridget Leicester, LICSW is 1063448694. It was assigned on June 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Bridget Leicester, LICSW?

Ms. Bridget Leicester, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0000928.

Where does Ms. Bridget Leicester, LICSW practice?

The practice location is 90 Mahoney Ave, Psychiatry & Psychotherapy Assocs, Rutland, VT 05701-0000. The office can be reached at 802-775-2581 (phone) or 802-775-3395 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063448694 directly on the NPPES registry website.

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