Peter Albert
Individual provider Active NPI Clinical Social Worker · Brattleboro, VT
NPI 1124123468 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124123468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089-0000097 (VT)
- Practice address
- Anna Marsh Lane
Brattleboro Retreat Healthcare
Brattleboro, VT 05302 - Phone
- (802) 257-7785
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 089-0000097 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brattleboro Retreat | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0000097 | VT | Yes |
Addresses
Primary practice location
Anna Marsh Lane
Brattleboro Retreat Healthcare
Brattleboro, VT 05302
Mailing address
Anna Marsh Lane
Brattleboro Retreat Healthcare
Brattleboro, VT 05302
Phone (802) 257-7785
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008051 | Medicaid | VT | |
| 089-0000097 | Other | VT | LICENSE |
Other providers in Brattleboro, VT
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- Suzanne S Ahn
- Cheryl Anne Aiken
- Shumokh Abdullah S Alanazi
- David J Albright
- Alexandra Keep PLLC
- Jenifer W Ambler
- Laila Claire Ames
- Mark Anagnostopulos
All providers in Brattleboro, 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 Jul 21, 2022. 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.