Active NPIIndividual provider

Jean Etter, LICSW

Social Worker, Clinical in Bellow Falls, Vermont

NPI Number1619990827
Practice location
18 Old Terrace, The Windham Center, Bellow Falls, VT 05101
Fax
—
Last updated
July 8, 2007

Jean Etter is a Social Worker, Clinical based in Bellow Falls, VT. Jean Etter practices in Bellow Falls, VT and has the professional credentials of LICSW. The NPI Number for Jean Etter is 1619990827 and holds a License No. 089-0000769 (VT). The current practice location address for Jean Etter is 18 Old Terrace, The Windham Center, Bellow Falls, VT 05101 and can be reached out via phone at 802-463-1292.

Provider Profile Details

NPI Number
1619990827
Provider Name
Jean Etter
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
18 Old Terrace, The Windham Center, Bellow Falls, VT 05101
Phone Number
802-463-1292
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Old Terrace
The Windham Center
Bellow Falls, VT 05101
State
Vermont
Zip
05101
Phone Number
802-463-1292
Bellow Falls, VT 05101Get directions →

Provider Business Mailing Address Details

Address
252 River St
C/O Network Management Services
Springfield, VT 05156-2306
City
Springfield
State
VT
Zip
05156-2306
Phone Number
802-885-5785
Fax Number
802-885-2030

License Information

License Number
089-0000769
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 Jean Etter, LICSW?

The NPI number of Jean Etter, LICSW is 1619990827. It was assigned on July 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Jean Etter, LICSW?

Jean Etter, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089-0000769.

Where does Jean Etter, LICSW practice?

The practice location is 18 Old Terrace, The Windham Center, Bellow Falls, VT 05101. The office can be reached at 802-463-1292 (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 1619990827 directly on the NPPES registry website.

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