Thomas Kauffmann, LICSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0134372 Issued in VT

Practice address

182 Barker Rd
Londonderry, VT 05148-6508

Phone

(802) 365-1643

NPI assigned

Jan 6, 2012

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

  • Community/Behavioral Health Agency
  • Springfield, VT
  • NPI 1790861342

  Multi-Specialty

  Medicare reassignment NPD
• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

  • Community/Behavioral Health Agency
  • Bellows Falls, VT
  • NPI 1396962742
  NPD
• Silverado Counseling Services, LLC

  • Clinical Social Worker
  • South Salt Lake, UT
  • NPI 1154381192
  NPD (past)

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1013287168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "LONDONDERRY",
            "state": "VT",
            "postal_code": "051480370",
            "telephone_number": "801-520-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BARKER RD",
            "city": "LONDONDERRY",
            "state": "VT",
            "postal_code": "051486508",
            "telephone_number": "802-365-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 River Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VT",
            "postal_code": "051562226",
            "country_code": "US",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 E Monza Dr",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841093831",
            "country_code": "US",
            "telephone_number": "801-520-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFFMANN",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LICSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9539574-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria L. Alfaro, RD, NBC-HWC
• Melanie Mary Canon, M.D.
• Roger C Fox, MD
• Cynthia Harris, APRN
• Mountain Valley Health Council Inc (Mountain Valley Health Center)
• Mountain Valley Health Council Inc. (Mountain Valley Health Center)
• Neighborhood Connections, Inc (Neighborhood Connections)
• Niklas-Moore Inc (Green Mountain Pharmacy)
• Karen M Petruney, APRN

• Clinical Social Worker in Londonderry, VT
• Providers in Londonderry, 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 Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.