Active NPIIndividual provider

Ms. Jane D Burgess, LICSW

Social Worker, Clinical in Putney, Vermont

NPI Number1770601098
Practice location
3031 Westminster RD, Putney, VT 05346
Fax
802-387-2538
Last updated
July 9, 2007

Jane Davis Burgess is a Social Worker, Clinical based in Putney, VT. Jane Davis Burgess practices in Putney, VT and has the professional credentials of LICSW. The NPI Number for Jane Davis Burgess is 1770601098 and holds a License No. 0890000515 (VT). The current practice location address for Jane Davis Burgess is 3031 Westminster RD, Putney, VT 05346 and can be reached out via phone at 802-257-8687 and via fax at 802-387-2538.

Provider Profile Details

NPI Number
1770601098
Provider Name
Jane Davis Burgess
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
3031 Westminster RD, Putney, VT 05346
Phone Number
802-257-8687
Fax Number
802-387-2538
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2007
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3031 Westminster RD
Putney, VT 05346
City
Putney
State
Vermont
Zip
05346
Phone Number
802-257-8687
Fax Number
802-387-2538
Putney, VT 05346Get directions →

Provider Business Mailing Address Details

Address
3031 Westminster RD
Putney, VT 05346
City
Putney
State
VT
Zip
05346
Phone Number
802-257-8687
Fax Number
802-387-2538

License Information

License Number (1)
0890000515
License State (1)
VT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
104994
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Ms. Jane D Burgess, LICSW?

The NPI number of Ms. Jane D Burgess, LICSW is 1770601098. It was assigned on March 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Jane D Burgess, LICSW?

Ms. Jane D Burgess, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890000515.

Where does Ms. Jane D Burgess, LICSW practice?

The practice location is 3031 Westminster RD, Putney, VT 05346. The office can be reached at 802-257-8687 (phone) or 802-387-2538 (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 1770601098 directly on the NPPES registry website.

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