Daniel Baslock, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0090488 Issued in VT

Practice address

190 Eastern Ave
St Johnsbury, VT 05819-5606

Phone

(802) 535-9114

NPI assigned

Nov 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013217546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HILLTOP AVE",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414327",
            "telephone_number": "802-535-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 EASTERN AVE",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058195606",
            "telephone_number": "802-535-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056029523",
            "country_code": "US",
            "telephone_number": "802-229-0591",
            "fax_number": "802-223-3667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASLOCK",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0126712",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0090488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022005",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roanna Leigh Bamford, PMHNP-BC
• Krystal-Lynn Baptiste, LCMHC
• Bonnie Baraw, LPN
• Alfred J Barber, MD
• Rebecca S Barski, CRNA
• Bonnie L Bassett, LADC
• Margaret Beadle, MA, LCMHC
• Felicia Bean
• Sylvia B Bedor, LCMHC, LADC
• Nichole Marie Bell, OTR

• Clinical Social Worker in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.