Active NPIIndividual provider

Mr. Brian P Southworth, LICSW

Social Worker, Clinical in Burlington, Vermont

NPI Number1629584875
Practice location
76 Glen RD, Burlington, VT 05406-4009
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
State
Vermont
Zip
05406-4009
Phone Number
802-864-7467
Burlington, VT 05406Get directions →

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

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 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.

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