Active NPIIndividual providerSole proprietor

Mark J Kilgallon, LICSW

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1881739761
Practice location
60 Terrace St, Brattleboro, VT 05301-3105
Fax
—
Last updated
March 20, 2023

Mark J Kilgallon is a Social Worker, Clinical based in Brattleboro, VT. Mark J Kilgallon practices in Brattleboro, VT and has the professional credentials of LICSW. The NPI Number for Mark J Kilgallon is 1881739761 and holds a License No. 212047 (MA). The current practice location address for Mark J Kilgallon is 60 Terrace St, Brattleboro, VT 05301-3105 and can be reached out via phone at 413-522-9158.

Provider Profile Details

NPI Number
1881739761
Provider Name
Mark J Kilgallon
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
60 Terrace St, Brattleboro, VT 05301-3105
Phone Number
413-522-9158
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 20, 2007
Last Update Date
March 20, 2023
Certification Date
March 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Terrace St
Brattleboro, VT 05301-3105
State
Vermont
Zip
05301-3105
Phone Number
413-522-9158
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
60 Terrace St
Brattleboro, VT 05301-3105
City
Brattleboro
State
VT
Zip
05301-3105
Phone Number
413-522-9158

License Information

License Number
212047
License State
MA
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 Mark J Kilgallon, LICSW?

The NPI number of Mark J Kilgallon, LICSW is 1881739761. It was assigned on February 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Mark J Kilgallon, LICSW?

Mark J Kilgallon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 212047.

Where does Mark J Kilgallon, LICSW practice?

The practice location is 60 Terrace St, Brattleboro, VT 05301-3105. The office can be reached at 413-522-9158 (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 1881739761 directly on the NPPES registry website.

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