- Practice location
- 74 Grafton RD., Townshend, VT 05353
- Phone
- 802-321-5066
- Fax
- 802-210-3972
- Last updated
- October 3, 2024
Drift Mavyn Licsw LLC is a healthcare organization based in Townshend, VT. Drift Mavyn Licsw LLC practices in Townshend, VT. The NPI Number for Drift Mavyn Licsw LLC is 1134842909. The current practice location address for Drift Mavyn Licsw LLC is 74 Grafton RD., Townshend, VT 05353 and can be reached out via phone at 802-321-5066 and via fax at 802-210-3972.
Provider Profile Details
- NPI Number
- 1134842909
- Provider Name
- Drift Mavyn Licsw LLC
- Provider Entity Type
- Organization
- Address
- 74 Grafton RD., Townshend, VT 05353
- Phone Number
- 802-321-5066
- Fax Number
- 802-210-3972
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Drift E Mavyn, MSW, LICSW · Owner · 802-321-5066
- Provider Enumeration Date
- September 26, 2022
- Last Update Date
- October 3, 2024
- Certification Date
- September 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Grafton RD.
Townshend, VT 05353 - City
- Townshend
- State
- Vermont
- Zip
- 05353
- Phone Number
- 802-321-5066
- Fax Number
- 802-210-3972
Provider Business Mailing Address Details
- Address
- Po Box 157
Townshend, VT 05353-0157 - City
- Townshend
- State
- VT
- Zip
- 05353-0157
- Phone Number
- 802-321-5066
- Fax Number
- 802-210-3972
License Information
- 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 Townshend, VT
View all Social Worker, Clinical providers in Townshend →- Amy Blazej, MSWSocial Worker, Clinical · NPI 1093572554
- Drift E Mavyn, MSW, LICSWSocial Worker, Clinical · NPI 1316683758
- Ms. Meredith L Kenyon, LICSWSocial Worker, Clinical · NPI 1134421928
- Carlos G Otis Health Care Center INCMedicare Defined Swing Bed Unit · NPI 1093843328
- Carlos G Otis Health Care Center INCPharmacy, Community/Retail Pharmacy · NPI 1205930336
- Carlos G Otis Health Care Center INCClinic/Center, Rural Health · NPI 1124049960
Frequently Asked Questions
What is the NPI number of Drift Mavyn Licsw LLC?
The NPI number of Drift Mavyn Licsw LLC is 1134842909. It was assigned on September 26, 2022 and is currently active in the NPPES registry.
What is the specialty of Drift Mavyn Licsw LLC?
Drift Mavyn Licsw LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Drift Mavyn Licsw LLC practice?
The practice location is 74 Grafton RD., Townshend, VT 05353. The office can be reached at 802-321-5066 (phone) or 802-210-3972 (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 1134842909 directly on the NPPES registry website.