Dana M Deschamp, LICSW

Individual provider Active NPI Clinical Social Worker · Springfield, VT

NPI 1013176239 · NPPES record last updated Jun 3, 2008

Key facts

NPI
1013176239
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
089-0001243 (VT)
Practice address
390 River St
Springfield, VT 05156-2226
Phone
(802) 886-4500
Fax
(802) 886-4520
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

Medicare Care Compare profile

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

Practice addresses (Care Compare)

287 County Rd
Windsor, VT 05089-1261
Phone (802) 952-1029

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090930000124 VT Practitioner - Clinical Social Worker 8123164449 Practice locations: Windsor, VT

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
089-0001243VTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089-0001243 VT Yes

Addresses

Primary practice location

390 River St
Springfield, VT 05156-2226

Mailing address

390 River St
Springfield, VT 05156-2226
Phone (802) 886-4500

Other names

  • Dana M Treuhaft Former name

Other providers in Springfield, VT

All providers in Springfield, VT · Clinical Social Worker in Vermont

Sources for this page

Verify at the official NPI Registry.