Active NPIIndividual provider

Kathryn Dezotell, BS MSW

Student in an Organized Health Care Education/Training Program in White River Junction, Vermont

NPI Number1164305355
Practice location
132 S. Main Street, Suite 100, White River Junction, VT 05001
Fax
802-281-7086
Last updated
December 10, 2025

Kathryn Dezotell is a Student in an Organized Health Care Education/Training Program based in White River Junction, VT. Kathryn Dezotell practices in White River Junction, VT and has the professional credentials of BS MSW. The NPI Number for Kathryn Dezotell is 1164305355 and holds a License No. 097.0136578 (VT). The current practice location address for Kathryn Dezotell is 132 S. Main Street, Suite 100, White River Junction, VT 05001 and can be reached out via phone at 802-281-7080 and via fax at 802-281-7086.

Provider Profile Details

NPI Number
1164305355
Provider Name
Kathryn Dezotell
Credential
BS MSW
Provider Entity Type
Individual
Gender
Female
Address
132 S. Main Street, Suite 100, White River Junction, VT 05001
Phone Number
802-281-7080
Fax Number
802-281-7086
Sole Proprietor
No
Other Names
Katie Dezotell (Other Name)
Provider Enumeration Date
July 28, 2025
Last Update Date
December 10, 2025
Certification Date
December 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
132 S. Main Street
Suite 100
White River Junction, VT 05001
State
Vermont
Zip
05001
Phone Number
802-281-7080
Fax Number
802-281-7086
White River Junction, VT 05001Get directions →

Provider Business Mailing Address Details

Address
390 River St
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520

License Information

Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
097.0136578
License State (2)
VT

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 Kathryn Dezotell, BS MSW?

The NPI number of Kathryn Dezotell, BS MSW is 1164305355. It was assigned on July 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Kathryn Dezotell, BS MSW?

Kathryn Dezotell, BS MSW is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in VT under license number 097.0136578.

Where does Kathryn Dezotell, BS MSW practice?

The practice location is 132 S. Main Street, Suite 100, White River Junction, VT 05001. The office can be reached at 802-281-7080 (phone) or 802-281-7086 (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 1164305355 directly on the NPPES registry website.

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