Caleb John Shepherd, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890001177 Issued in VT

Practice address

320 Main St # 3a
Norwich, VT 05055-4418

Phone

(802) 778-0941

NPI assigned

Jan 2, 2007

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

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)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1043377070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 NEW BOSTON RD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559681",
            "telephone_number": "802-778-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN ST # 3A",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050554418",
            "telephone_number": "802-778-0941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VT",
            "postal_code": "050911122",
            "country_code": "US",
            "telephone_number": "802-778-0941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CALEB",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890001177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M. Saroyan, M.D.
• Janine Leigh Scheiner, PH.D.
• Doreen Gail Schweizer, MSW LICSW
• Dean John Seibert, M.D.
• Shoshanna S Shelley, ED.D
• Steffanny Marcellina Smith, PHARMD
• Cynthia Marquess Stadler, CNM
• Susan R. Tucker, MD,P.C.
• Synergy Psychotherapeutics PLC
• The Family Place

• Clinical Social Worker in Norwich, VT
• Providers in Norwich, 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 Jan 12, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.