Individual provider Active NPI

Ann Kraybill, LICSW

  • Clinical Social Worker
  • Norwich, VT
National Provider Identifier
1013032242
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0001203 Issued in VT
Practice address
289 Main St Unit B217
Norwich, VT 05055-9354
Phone
(802) 779-2133
NPI assigned
Mar 20, 2007
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089-0001203 VT Primary

Addresses

Primary practice location

289 Main St Unit B217
Norwich, VT 05055-9354

Mailing address

PO Box 437
Norwich, VT 05055-0437
Phone (802) 779-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118000614 VT Practitioner - Clinical Social Worker 5991176661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

289 Main St
Norwich, VT 05055-9352
Phone (802) 779-2133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0001203VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Festina Lente, PLLC CurrentSince Nov 17, 2022 Accepting new patients
West Central Services, Inc Past Accepting new patients
West Central Services, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1013032242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050550437",
            "telephone_number": "802-779-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST UNIT B217",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559354",
            "telephone_number": "802-779-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYBILL",
        "first_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0001203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, VT

Sources for this page

Verify at the official NPI Registry.