Brenna Therese Corrigan, LICSW
Individual provider Active NPI Clinical Social Worker · White River Junction, VT
NPI 1104125699 · NPPES record last updated Mar 23, 2011
Key facts
- NPI
- 1104125699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0075402 (VT)
- Practice address
- 215 N Main St
Mail Code 170/WMF
White River Junction, VT 05009-0001 - Phone
- (802) 295-9363
- Fax
- (802) 296-6416
- NPI assigned
- Mar 23, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089.0075402 | VT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0075402 | VT | Yes |
Addresses
Primary practice location
215 N Main St
Mail Code 170/WMF
White River Junction, VT 05009-0001
Mailing address
215 N Main St
Mail Code 170/WMF
White River Junction, VT 05009-0001
Phone (802) 295-9363
Other providers in White River Junction, VT
- Deborah Ann Collins
- John Edward Connolly
- Sophia Natale Convertini
- Cicely Andree Conway
- Corner Drug Co,Inc
- Julia F Corsetti
- Timothy P Cox
- Ryan Matthew Crowley
- Sarah Towne Cunningham
- Jill T Cutting
All providers in White River Junction, 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 Mar 23, 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.