Active NPIIndividual providerSole proprietor

Ms. Nancy J Ellery, LICSW

Counselor, Mental Health in Rutland, Vermont

NPI Number1528141967
Practice location
64 Allen St, Rutland, VT 05701-4554
Fax
—
Last updated
June 15, 2012

Nancy Jean Ellery is a Counselor, Mental Health based in Rutland, VT. Nancy Jean Ellery practices in Rutland, VT and has the professional credentials of LICSW. The NPI Number for Nancy Jean Ellery is 1528141967 and holds a License No. 089-0000259 (VT). The current practice location address for Nancy Jean Ellery is 64 Allen St, Rutland, VT 05701-4554 and can be reached out via phone at 802-747-7296.

Provider Profile Details

NPI Number
1528141967
Provider Name
Nancy Jean Ellery
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
64 Allen St, Rutland, VT 05701-4554
Phone Number
802-747-7296
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2006
Last Update Date
June 15, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Allen St
Rutland, VT 05701-4554
State
Vermont
Zip
05701-4554
Phone Number
802-747-7296
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
64 Allen St
Rutland, VT 05701-4554
City
Rutland
State
VT
Zip
05701-4554
Phone Number
802-747-7296
Fax Number
802-773-3965

License Information

License Number
089-0000259
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Ms. Nancy J Ellery, LICSW?

The NPI number of Ms. Nancy J Ellery, LICSW is 1528141967. It was assigned on October 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Nancy J Ellery, LICSW?

Ms. Nancy J Ellery, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 089-0000259.

Where does Ms. Nancy J Ellery, LICSW practice?

The practice location is 64 Allen St, Rutland, VT 05701-4554. The office can be reached at 802-747-7296 (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 1528141967 directly on the NPPES registry website.

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