Amy Breese, Licsw, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AMY BREESE, LICSW, LLC

Practice address

937 Gage St
Bennington, VT 05201-2069

Phone

(518) 469-8704

NPI assigned

Mar 28, 2021

Last updated

Mar 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Breese, LICSWNPI 1942524533

Title

Provider

Phone

(518) 469-8704

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Breese, LICSW

  • Clinical Social Worker
  • Bennington, VT
  • NPI 1942524533
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1013594662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 GAGE ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012069",
            "telephone_number": "518-469-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 GAGE ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012069",
            "telephone_number": "518-469-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY BREESE, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A",
        "authorized_official_last_name": "BREESE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "518-469-8704",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan N. Binnick, M.D., P.C.
• Donna M Alexander, RN
• Sean Alexander, D.M.D
• Michael Algus, M.D.
• Emily Altland
• Jennifer Anderson, RPH, PHARMD
• Kristin Andrew, FNP
• Courtney Andrews
• Anesthesiology Associates of Bennington
• Angela L Wingate MD

• Clinical Social Worker in Bennington, VT
• Providers in Bennington, 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 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.