Gary Frankel, LICSW

Individual provider Active NPI Clinical Social Worker · Waitsfield, VT

NPI 1124429204 · NPPES record last updated Sep 9, 2014

Key facts

NPI
1124429204
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
089.0101377 (VT)
Practice address
233 Wallis Drive
Waitsfield, VT 05673
Phone
(802) 793-9116
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
089.0101377VTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0101377 VT Yes

Addresses

Primary practice location

233 Wallis Drive
Waitsfield, VT 05673

Mailing address

233 Wallis Drive
Waitsfield, VT 05673
Phone (802) 793-9116

Other providers in Waitsfield, VT

All providers in Waitsfield, VT · Clinical Social Worker in Vermont

Sources for this page

Verify at the official NPI Registry.