Sunrise Family Resource Center

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SUNRISE FAMILY RESOURCE CENTER

Practice address

244 Union Street
Bennington, VT 05201

Phone

(802) 442-6934

Fax

(802) 442-1663

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Marie Dean-Farrar

Title

Executive Director

Phone

(802) 442-6934

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Tiffany Racicot

  • Community Health Worker
  • Bennington, VT
  • NPI 1811761620
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1053434100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "05201",
            "telephone_number": "802-442-6934",
            "fax_number": "802-442-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 UNION STREET",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "05201",
            "telephone_number": "802-442-6934",
            "fax_number": "802-442-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "DEAN-FARRAR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-442-6934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005178",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Stevens, DCN, MT
• Paul Stitelman, LICSW
• Kendra Elizabeth Stratton, DH
• Stacey Subik, LMFT
• Kenneth James Sullivan-Bol, D.C.
• Ann Marie Swann, MD
• Susan Marie Sweeney, M.A.
• Patrick J Tangney, MD
• Chelsea Marie Tarsa, OTR/L
• Ileana Tecchio, ND LAC

• Social Worker in Bennington, VT
• Providers in Bennington, VT by specialty
• Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.