Individual provider Active NPI

Beth A Halpern, PHD., LICSW

  • Clinical Social Worker
  • Bennington, VT
National Provider Identifier
1073605937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890000836 Issued in VT
Practice address
449 Main St
Bennington, VT 05201-2141
Phone
(802) 379-1158
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0890000836 VT Primary

Addresses

Primary practice location

449 Main St
Bennington, VT 05201-2141

Mailing address

2 Bromley LN
North Bennington, VT 05257-9543
Phone (802) 447-8554

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041201000908 VT Practitioner - Clinical Social Worker 6800852807 Practice locations: West Pawlet, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1806 Vermont Route 153
West Pawlet, VT 05775-4416
Phone (802) 379-3333

PO Box
Suite 198
West Pawlet, VT 05775-0198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0890000836VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073605937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROMLEY LN",
            "city": "NORTH BENNINGTON",
            "state": "VT",
            "postal_code": "052579543",
            "telephone_number": "802-447-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 MAIN ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012141",
            "telephone_number": "802-379-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "BETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD., LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.