Individual provider Active NPI

Kara Deleonardis Kraus, LICSW

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1063721132
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0000965 Issued in VT
Practice address
1233 Shelburne Rd
East O' Lake Building, Suite 120
South Burlington, VT 05403-7700
Phone
(802) 999-7042
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0000965 VT Primary

Addresses

Primary practice location

1233 Shelburne Rd
East O' Lake Building, Suite 120
South Burlington, VT 05403-7700

Mailing address

9 Adams CT
South Burlington, VT 05403-8708
Phone (802) 999-7042

Other identifiers 1

IdentifierTypeStateIssuer
1018265MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110804000289 VT Practitioner - Clinical Social Worker 6709055916 Practice locations: S Burlington, VT
I20251003000428 CT Practitioner - Clinical Social Worker 6709055916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

95 Barbara Rd
Bristol, CT 06010-3808

984 Southford Rd
Middlebury, CT 06762-3234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0000965VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Center for Counseling & Learning, LLC CurrentSince Sep 25, 2025 Accepting new patients
Compassionate Care Counseling LLC CurrentSince Sep 25, 2025 Accepting new patients

Locations

984 Southford Rd
Middlebury, CT 06762
Phone (203) 758-2400

1000 Bridgeport Ave
Ste 202
Shelton, CT 06484
Phone (203) 712-9998

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1063721132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ADAMS CT",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054038708",
            "telephone_number": "802-999-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD",
            "address_2": "EAST O' LAKE BUILDING, SUITE 120",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037700",
            "telephone_number": "802-999-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "KARA",
        "middle_name": "DELEONARDIS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0000965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018265",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.