- Practice location
- 78 S Main St, Rutland, VT 05701-4594
- Phone
- 802-775-8224
- Fax
- 802-747-7699
- Last updated
- July 17, 2019
Jacqueline M Eddy is a Social Worker, Clinical based in Rutland, VT. Jacqueline M Eddy practices in Rutland, VT and has the professional credentials of LICSW. The NPI Number for Jacqueline M Eddy is 1114570371 and holds a License No. 0890134209 (VT). The current practice location address for Jacqueline M Eddy is 78 S Main St, Rutland, VT 05701-4594 and can be reached out via phone at 802-775-8224 and via fax at 802-747-7699.
Provider Profile Details
- NPI Number
- 1114570371
- Provider Name
- Jacqueline M Eddy
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 78 S Main St, Rutland, VT 05701-4594
- Phone Number
- 802-775-8224
- Fax Number
- 802-747-7699
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 17, 2019
- Last Update Date
- July 17, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 78 S Main St
Rutland, VT 05701-4594 - City
- Rutland
- State
- Vermont
- Zip
- 05701-4594
- Phone Number
- 802-775-8224
- Fax Number
- 802-747-7699
Provider Business Mailing Address Details
- Address
- 78 S Main St
Rutland, VT 05701-4594 - City
- Rutland
- State
- VT
- Zip
- 05701-4594
- Phone Number
- 802-775-8224
- Fax Number
- 802-747-7699
License Information
- License Number
- 0890134209
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Rutland, VT
View all Social Worker, Clinical providers in Rutland →- Abigail Cortina, LICSWSocial Worker, Clinical · NPI 1942034483
- Amy Howard, LCSWSocial Worker, Clinical · NPI 1720868532
- Brandy Bennick, LICSWSocial Worker, Clinical · NPI 1609426162
- Catherine Brewer, LICSWSocial Worker, Clinical · NPI 1164047981
- Janine F. Small INCSocial Worker, Clinical · NPI 1497897276
- Jason W Keicher, LCSWSocial Worker, Clinical · NPI 1245329838
Frequently Asked Questions
What is the NPI number of Jacqueline M Eddy, LICSW?
The NPI number of Jacqueline M Eddy, LICSW is 1114570371. It was assigned on July 17, 2019 and is currently active in the NPPES registry.
What is the specialty of Jacqueline M Eddy, LICSW?
Jacqueline M Eddy, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890134209.
Where does Jacqueline M Eddy, LICSW practice?
The practice location is 78 S Main St, Rutland, VT 05701-4594. The office can be reached at 802-775-8224 (phone) or 802-747-7699 (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 1114570371 directly on the NPPES registry website.