Mr. Brian P Southworth, LICSW
Social Worker, Clinical in Burlington, Vermont
1629584875- Practice location
- 76 Glen RD, Burlington, VT 05406-4009
- Phone
- 802-864-7467
- Fax
- —
- Last updated
- June 16, 2018
Brian Patterson Southworth is a Social Worker, Clinical based in Burlington, VT. Brian Patterson Southworth practices in Burlington, VT and has the professional credentials of LICSW. The NPI Number for Brian Patterson Southworth is 1629584875 and holds a License No. 0890000563 (VT). The current practice location address for Brian Patterson Southworth is 76 Glen RD, Burlington, VT 05406-4009 and can be reached out via phone at 802-864-7467.
Provider Profile Details
- NPI Number
- 1629584875
- Provider Name
- Brian Patterson Southworth
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 76 Glen RD, Burlington, VT 05406-4009
- Phone Number
- 802-864-7467
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 26, 2017
- Last Update Date
- June 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 76 Glen RD
Burlington, VT 05406-4009 - City
- Burlington
- State
- Vermont
- Zip
- 05406-4009
- Phone Number
- 802-864-7467
Provider Business Mailing Address Details
- Address
- 76 Glen RD
Burlington, VT 05406-4009 - City
- Burlington
- State
- VT
- Zip
- 05406-4009
- Phone Number
- 802-864-7467
License Information
- License Number
- 0890000563
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Burlington, VT
View all Social Worker, Clinical providers in Burlington →- Abigail Staab, LICSWSocial Worker, Clinical · NPI 1467287490
- Alessandra G Sorrento, LICSWSocial Worker, Clinical · NPI 1215450580
- Allison E CampbellSocial Worker, Clinical · NPI 1811867831
- Allison H CapelessSocial Worker, Clinical · NPI 1013150655
- Allyson G Demaggio, LICSWSocial Worker, Clinical · NPI 1043385156
- Amanda Cain, LICSWSocial Worker, Clinical · NPI 1750627865
Frequently Asked Questions
What is the NPI number of Mr. Brian P Southworth, LICSW?
The NPI number of Mr. Brian P Southworth, LICSW is 1629584875. It was assigned on December 26, 2017 and is currently active in the NPPES registry.
What is the specialty of Mr. Brian P Southworth, LICSW?
Mr. Brian P Southworth, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890000563.
Where does Mr. Brian P Southworth, LICSW practice?
The practice location is 76 Glen RD, Burlington, VT 05406-4009. The office can be reached at 802-864-7467 (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 1629584875 directly on the NPPES registry website.