Allyson Gail Demaggio, LICSW
Individual provider Active NPI Clinical Social Worker · Burlington, VT
NPI 1043385156 · NPPES record last updated Aug 1, 2011
Key facts
- NPI
- 1043385156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089-0000624 (VT)
- Practice address
- 174 Battery St
4
Burlington, VT 05401-6201 - Phone
- (802) 658-7708
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0000624 | VT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0000624 | VT | Yes |
Addresses
Primary practice location
174 Battery St
4
Burlington, VT 05401-6201
Mailing address
174 Battery St
4
Burlington, VT 05401-6201
Phone (802) 658-7708
Other providers in Burlington, VT
- Deborah Deladurantaye
- Leslie Joan Delaney
- Lisa Dellobuono
- Sara Dellorco
- Danielle Delongis
- Kimberly Demaria
- Melissa S Demeritt
- Lianna Katherine Demko
- Amy Denis
- Jan Hendrik Denkmann
All providers in Burlington, 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 Aug 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.