Active NPIIndividual providerSole proprietor

Ethan Hazzard-Watkins

Social Worker, Clinical in Brattleboro, Vermont

NPI Number1942859368
Practice location
60 Austine Dr, Brattleboro, VT 05301-6798
Fax
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Last updated
April 11, 2023

Ethan Hazzard-Watkins is a Social Worker, Clinical based in Brattleboro, VT. Ethan Hazzard-Watkins practices in Brattleboro, VT. The NPI Number for Ethan Hazzard-Watkins is 1942859368 and holds a License No. 089.0135152 (VT). The current practice location address for Ethan Hazzard-Watkins is 60 Austine Dr, Brattleboro, VT 05301-6798 and can be reached out via phone at 802-451-0934.

Provider Profile Details

NPI Number
1942859368
Provider Name
Ethan Hazzard-Watkins
Provider Entity Type
Individual
Gender
Male
Address
60 Austine Dr, Brattleboro, VT 05301-6798
Phone Number
802-451-0934
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 9, 2019
Last Update Date
April 11, 2023
Certification Date
April 11, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Austine Dr
Brattleboro, VT 05301-6798
State
Vermont
Zip
05301-6798
Phone Number
802-451-0934
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
61 Ethan Hl
Brattleboro, VT 05301-8900
City
Brattleboro
State
VT
Zip
05301-8900
Phone Number
802-451-0934

License Information

License Number
089.0135152
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 Ethan Hazzard-Watkins?

The NPI number of Ethan Hazzard-Watkins is 1942859368. It was assigned on September 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Ethan Hazzard-Watkins?

Ethan Hazzard-Watkins is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 089.0135152.

Where does Ethan Hazzard-Watkins practice?

The practice location is 60 Austine Dr, Brattleboro, VT 05301-6798. The office can be reached at 802-451-0934 (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 1942859368 directly on the NPPES registry website.

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