Active NPIIndividual providerSole proprietor

Mary Ann D Boyd, LICSW

Social Worker, Clinical in Middlebury, Vermont

NPI Number1104903319
Practice location
135 S Pleasant St, Middlebury, VT 05753-1479
Fax
—
Last updated
July 8, 2007

Mary Ann Dattilo Boyd is a Social Worker, Clinical based in Middlebury, VT. Mary Ann Dattilo Boyd practices in Middlebury, VT and has the professional credentials of LICSW. The NPI Number for Mary Ann Dattilo Boyd is 1104903319 and holds a License No. 0890001058 (VT). The current practice location address for Mary Ann Dattilo Boyd is 135 S Pleasant St, Middlebury, VT 05753-1479 and can be reached out via phone at 802-349-6182.

Provider Profile Details

NPI Number
1104903319
Provider Name
Mary Ann Dattilo Boyd
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
135 S Pleasant St, Middlebury, VT 05753-1479
Phone Number
802-349-6182
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 S Pleasant St
Middlebury, VT 05753-1479
State
Vermont
Zip
05753-1479
Phone Number
802-349-6182
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
459 Lower Notch RD
Bristol, VT 05443-5210
City
Bristol
State
VT
Zip
05443-5210
Phone Number
802-349-6182

License Information

License Number
0890001058
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Mary Ann D Boyd, LICSW?

The NPI number of Mary Ann D Boyd, LICSW is 1104903319. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Mary Ann D Boyd, LICSW?

Mary Ann D Boyd, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890001058.

Where does Mary Ann D Boyd, LICSW practice?

The practice location is 135 S Pleasant St, Middlebury, VT 05753-1479. The office can be reached at 802-349-6182 (phone).

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 1104903319 directly on the NPPES registry website.

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