Active NPIIndividual providerSole proprietor

Mrs. Karen J Braeutigam, LICSW

Counselor in Rutland, Vermont

NPI Number1134305113
Practice location
78 S Main St, Rutland, VT 05701-4591
Fax
802-747-7699
Last updated
January 22, 2015

Karen J Braeutigam is a Counselor based in Rutland, VT. Karen J Braeutigam practices in Rutland, VT and has the professional credentials of LICSW. The NPI Number for Karen J Braeutigam is 1134305113 and holds a License No. 089-0001220 (VT). The current practice location address for Karen J Braeutigam is 78 S Main St, Rutland, VT 05701-4591 and can be reached out via phone at 802-775-8224 and via fax at 802-747-7699.

Provider Profile Details

NPI Number
1134305113
Provider Name
Karen J Braeutigam
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
78 S Main St, Rutland, VT 05701-4591
Phone Number
802-775-8224
Fax Number
802-747-7699
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 21, 2008
Last Update Date
January 22, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 S Main St
Rutland, VT 05701-4591
State
Vermont
Zip
05701-4591
Phone Number
802-775-8224
Fax Number
802-747-7699
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
191 Route 73
Po Box 18
Orwell, VT 05760-9782
City
Orwell
State
VT
Zip
05760-9782
Phone Number
802-775-2176

License Information

License Number
089-0001220
License State
VT
Taxonomy
Counselor · 101Y00000X · 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 Mrs. Karen J Braeutigam, LICSW?

The NPI number of Mrs. Karen J Braeutigam, LICSW is 1134305113. It was assigned on January 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Karen J Braeutigam, LICSW?

Mrs. Karen J Braeutigam, LICSW is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in VT under license number 089-0001220.

Where does Mrs. Karen J Braeutigam, LICSW practice?

The practice location is 78 S Main St, Rutland, VT 05701-4591. 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 1134305113 directly on the NPPES registry website.

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