Caleb John Shepherd, LICSW
Individual provider Active NPI Clinical Social Worker · Norwich, VT
NPI 1043377070 · NPPES record last updated Jan 12, 2023
Key facts
- NPI
- 1043377070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0890001177 (VT)
- Practice address
- 320 Main St # 3a
Norwich, VT 05055-4418 - Phone
- (802) 778-0941
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
320 Main St
3A
Norwich, VT 05055-4418
Phone (802) 778-0941
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150929002358 | VT | Practitioner - Clinical Social Worker | 8123336898 | Practice locations: Norwich, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0890001177 | VT | Yes |
Addresses
Primary practice location
320 Main St # 3a
Norwich, VT 05055-4418
Mailing address
465 New Boston Rd
Norwich, VT 05055-9681
Phone (802) 778-0941
Other practice location 1
32 Pleasant St
Woodstock, VT 05091-1122
Phone (802) 778-0941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089-0001177 | Other | VT | LICSW |
| 110290 | Other | MA | LICSW |
Other providers in Norwich, VT
- John M. Saroyan
- Janine Leigh Scheiner
- Doreen Gail Schweizer
- Dean John Seibert
- Shoshanna S Shelley
- Steffanny Marcellina Smith
- Cynthia Marquess Stadler
- Susan R. Tucker, MD,P.C.
- Synergy Psychotherapeutics PLC
- The Family Place
All providers in Norwich, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.