Active NPIIndividual providerSole proprietor

Nicole M Kirby, LCMHC

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1720286982
Practice location
229 Western Avenue, Brattleboro, VT 05301
Fax
802-419-9706
Last updated
November 16, 2023

Nicole M Kirby is a Social Worker, Clinical based in Brattleboro, VT. Nicole M Kirby practices in Brattleboro, VT and has the professional credentials of LCMHC. The NPI Number for Nicole M Kirby is 1720286982 and holds a License No. 005155-1 (NY). The current practice location address for Nicole M Kirby is 229 Western Avenue, Brattleboro, VT 05301 and can be reached out via phone at 347-342-6259 and via fax at 802-419-9706.

Provider Profile Details

NPI Number
1720286982
Provider Name
Nicole M Kirby
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
229 Western Avenue, Brattleboro, VT 05301
Phone Number
347-342-6259
Fax Number
802-419-9706
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Nicole M Bisaillon, LCMHC (Former Name)
Provider Enumeration Date
July 10, 2007
Last Update Date
November 16, 2023
Certification Date
February 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
229 Western Avenue
Brattleboro, VT 05301
State
Vermont
Zip
05301
Phone Number
347-342-6259
Fax Number
802-419-9706
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
Po Box 301
East Dover, VT 05341
City
East Dover
State
VT
Zip
05341
Phone Number
347-342-6259
Fax Number
802-419-9706

License Information

License Number (1)
005155-1
License State (1)
NY
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
068.0087757
License State (2)
VT
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
068.0087757
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 Nicole M Kirby, LCMHC?

The NPI number of Nicole M Kirby, LCMHC is 1720286982. It was assigned on July 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Nicole M Kirby, LCMHC?

Nicole M Kirby, LCMHC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 005155-1.

Where does Nicole M Kirby, LCMHC practice?

The practice location is 229 Western Avenue, Brattleboro, VT 05301. The office can be reached at 347-342-6259 (phone) or 802-419-9706 (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 1720286982 directly on the NPPES registry website.

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