Ms. Elise Brokaw, LICSW
Social Worker, Clinical in Middlebury, Vermont
1982060885- Practice location
- 67 Catamount Park, Middlebury, VT 05753-1397
- Phone
- 802-388-6751
- Fax
- 802-388-8183
- Last updated
- January 7, 2016
Elise Brokaw is a Social Worker, Clinical based in Middlebury, VT. Elise Brokaw practices in Middlebury, VT and has the professional credentials of LICSW. The NPI Number for Elise Brokaw is 1982060885 and holds a License No. 0890001032 (VT). The current practice location address for Elise Brokaw is 67 Catamount Park, Middlebury, VT 05753-1397 and can be reached out via phone at 802-388-6751 and via fax at 802-388-8183.
Provider Profile Details
- NPI Number
- 1982060885
- Provider Name
- Elise Brokaw
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 67 Catamount Park, Middlebury, VT 05753-1397
- Phone Number
- 802-388-6751
- Fax Number
- 802-388-8183
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 7, 2016
- Last Update Date
- January 7, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Catamount Park
Middlebury, VT 05753-1397 - City
- Middlebury
- State
- Vermont
- Zip
- 05753-1397
- Phone Number
- 802-388-6751
- Fax Number
- 802-388-8183
Provider Business Mailing Address Details
- Address
- 89 Main St
Middlebury, VT 05753-1459 - City
- Middlebury
- State
- VT
- Zip
- 05753-1459
- Phone Number
- 802-388-6751
- Fax Number
- 802-388-8183
License Information
- License Number
- 0890001032
- License State
- VT
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Middlebury, VT
View all Social Worker, Clinical providers in Middlebury →- Amelia HartSocial Worker, Clinical · NPI 1013743814
- Amy M BrownSocial Worker, Clinical · NPI 1336779404
- Carol S Johnson, LICSWSocial Worker, Clinical · NPI 1144695438
- Gabrielle Jensen, LICSWSocial Worker, Clinical · NPI 1619846144
- Joanne Corbett, MSW, LICSWSocial Worker, Clinical · NPI 1679537930
- Marcy CramSocial Worker, Clinical · NPI 1265300941
Frequently Asked Questions
What is the NPI number of Ms. Elise Brokaw, LICSW?
The NPI number of Ms. Elise Brokaw, LICSW is 1982060885. It was assigned on January 7, 2016 and is currently active in the NPPES registry.
What is the specialty of Ms. Elise Brokaw, LICSW?
Ms. Elise Brokaw, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 0890001032.
Where does Ms. Elise Brokaw, LICSW practice?
The practice location is 67 Catamount Park, Middlebury, VT 05753-1397. The office can be reached at 802-388-6751 (phone) or 802-388-8183 (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 1982060885 directly on the NPPES registry website.