Active NPIIndividual providerSole proprietor

Mr. Jeffrey Dworkin, MA

Psychologist, Clinical Child & Adolescent in Montpelier, Vermont

NPI Number1104986637
Practice location
24 Court St., Montpelier, VT 05602
Fax
802-223-6733
Last updated
September 11, 2025

Jeffrey Dworkin is a Psychologist, Clinical Child & Adolescent based in Montpelier, VT. Jeffrey Dworkin practices in Montpelier, VT and has the professional credentials of MA. The NPI Number for Jeffrey Dworkin is 1104986637 and holds a License No. 695 (VT). The current practice location address for Jeffrey Dworkin is 24 Court St., Montpelier, VT 05602 and can be reached out via phone at 802-223-6733 and via fax at 802-223-6733.

Provider Profile Details

NPI Number
1104986637
Provider Name
Jeffrey Dworkin
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
24 Court St., Montpelier, VT 05602
Phone Number
802-223-6733
Fax Number
802-223-6733
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Court St.
Montpelier, VT 05602
State
Vermont
Zip
05602
Phone Number
802-223-6733
Fax Number
802-223-6733
Montpelier, VT 05602Get directions →

Provider Business Mailing Address Details

Address
24 Court St.
Montpelier, VT 05602
City
Montpelier
State
VT
Zip
05602
Phone Number
802-223-6733
Fax Number
802-223-6733

License Information

License Number (1)
695
License State (1)
VT
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
695
License State (2)
VT
Taxonomy (2)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (3)
695
License State (3)
VT
Taxonomy (3)
Psychologist, Clinical · 103TC0700X
License Number (4)
695
License State (4)
VT
Taxonomy (4)
Psychologist, Counseling · 103TC1900X
License Number (5)
695
License State (5)
VT
Taxonomy (5)
Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
License Number (6)
695
License State (6)
VT
Taxonomy (6)
Psychologist, Family · 103TF0000X

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 Mr. Jeffrey Dworkin, MA?

The NPI number of Mr. Jeffrey Dworkin, MA is 1104986637. It was assigned on December 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Jeffrey Dworkin, MA?

Mr. Jeffrey Dworkin, MA is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in VT under license number 695.

Where does Mr. Jeffrey Dworkin, MA practice?

The practice location is 24 Court St., Montpelier, VT 05602. The office can be reached at 802-223-6733 (phone) or 802-223-6733 (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 1104986637 directly on the NPPES registry website.

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