Active NPIIndividual providerSole proprietor

Drift E Mavyn, MSW, LICSW

Social Worker, Clinical in Townshend, Vermont

NPI Number1316683758
Practice location
74 Grafton RD., Townshend, VT 05353
Fax
802-210-3972
Last updated
October 3, 2024

Drift E Mavyn is a Social Worker, Clinical based in Townshend, VT. Drift E Mavyn practices in Townshend, VT and has the professional credentials of MSW, LICSW. The NPI Number for Drift E Mavyn is 1316683758 and holds a License No. 089.0134630 (VT). The current practice location address for Drift E Mavyn 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
1316683758
Provider Name
Drift E Mavyn
Credential
MSW, LICSW
Provider Entity Type
Individual
Address
74 Grafton RD., Townshend, VT 05353
Phone Number
802-321-5066
Fax Number
802-210-3972
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Drift Mavyn, MSW, LICSW (Professional Name)
Provider Enumeration Date
May 9, 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
State
Vermont
Zip
05353
Phone Number
802-321-5066
Fax Number
802-210-3972
Townshend, VT 05353Get directions →

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

License Number
089.0134630
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.

Other Social Worker, Clinical providers near Townshend, VT

View all Social Worker, Clinical providers in Townshend →

Frequently Asked Questions

What is the NPI number of Drift E Mavyn, MSW, LICSW?

The NPI number of Drift E Mavyn, MSW, LICSW is 1316683758. It was assigned on May 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Drift E Mavyn, MSW, LICSW?

Drift E Mavyn, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0134630.

Where does Drift E Mavyn, MSW, LICSW 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 1316683758 directly on the NPPES registry website.

Browse related providers