Active NPIIndividual provider

Mary E Misavage, MSW LMSW LICSW

Social Worker, Clinical in Hartford, Vermont

NPI Number1609416973
Practice location
49 School Street, Hartford, VT 05047-0709
Fax
802-295-0820
Last updated
June 27, 2022

Mary Elizabeth Misavage is a Social Worker, Clinical based in Hartford, VT. Mary Elizabeth Misavage practices in Hartford, VT and has the professional credentials of MSW LMSW LICSW. The NPI Number for Mary Elizabeth Misavage is 1609416973 and holds a License No. 097.0134691 (VT). The current practice location address for Mary Elizabeth Misavage is 49 School Street, Hartford, VT 05047-0709 and can be reached out via phone at 802-295-3031 and via fax at 802-295-0820.

Provider Profile Details

NPI Number
1609416973
Provider Name
Mary Elizabeth Misavage
Credential
MSW LMSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
49 School Street, Hartford, VT 05047-0709
Phone Number
802-295-3031
Fax Number
802-295-0820
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 14, 2020
Last Update Date
June 27, 2022
Certification Date
June 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 School Street
Hartford, VT 05047-0709
State
Vermont
Zip
05047-0709
Phone Number
802-295-3031
Fax Number
802-295-0820
Hartford, VT 05047Get directions →

Provider Business Mailing Address Details

Address
390 River Street
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4560

License Information

License Number (1)
097.0134691
License State (1)
VT
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
156.0133903
License State (2)
VT
Taxonomy (2)
Social Worker, Clinical · 1041C0700X
License Number (3)
089.0134621
License State (3)
VT
Taxonomy (3)
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 Mary E Misavage, MSW LMSW LICSW?

The NPI number of Mary E Misavage, MSW LMSW LICSW is 1609416973. It was assigned on January 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Mary E Misavage, MSW LMSW LICSW?

Mary E Misavage, MSW LMSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 097.0134691.

Where does Mary E Misavage, MSW LMSW LICSW practice?

The practice location is 49 School Street, Hartford, VT 05047-0709. The office can be reached at 802-295-3031 (phone) or 802-295-0820 (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 1609416973 directly on the NPPES registry website.

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