Active NPIIndividual providerSole proprietor

Theresa C Gleason, LICSW

Social Worker, Clinical in Bridport, Vermont

NPI Number1265619183
Practice location
2076 East St, Bridport, VT 05734-9680
Fax
—
Last updated
January 22, 2008

Theresa Chance Gleason is a Social Worker, Clinical based in Bridport, VT. Theresa Chance Gleason practices in Bridport, VT and has the professional credentials of LICSW. The NPI Number for Theresa Chance Gleason is 1265619183 and holds a License No. 089-0000196 (VT). The current practice location address for Theresa Chance Gleason is 2076 East St, Bridport, VT 05734-9680 and can be reached out via phone at 802-758-2476.

Provider Profile Details

NPI Number
1265619183
Provider Name
Theresa Chance Gleason
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
2076 East St, Bridport, VT 05734-9680
Phone Number
802-758-2476
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 22, 2008
Last Update Date
January 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2076 East St
Bridport, VT 05734-9680
State
Vermont
Zip
05734-9680
Phone Number
802-758-2476
Bridport, VT 05734Get directions →

Provider Business Mailing Address Details

Address
2076 East St
Bridport, VT 05734-9680
City
Bridport
State
VT
Zip
05734-9680
Phone Number
802-758-2476

License Information

License Number
089-0000196
License State
VT
Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Theresa C Gleason, LICSW?

The NPI number of Theresa C Gleason, LICSW is 1265619183. It was assigned on January 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Theresa C Gleason, LICSW?

Theresa C Gleason, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0000196.

Where does Theresa C Gleason, LICSW practice?

The practice location is 2076 East St, Bridport, VT 05734-9680. The office can be reached at 802-758-2476 (phone).

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 1265619183 directly on the NPPES registry website.

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