Natalie Tara Kanner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0135623 Issued in VT

Practice address

1233 Shelburne Rd Ste 450
South Burlington, VT 05403-7780

Phone

(802) 922-3192

NPI assigned

Nov 27, 2023

Last updated

Jan 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Natalie Tara Long Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1124894787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 433",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054450433",
            "telephone_number": "978-852-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 SHELBURNE RD STE 450",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037780",
            "telephone_number": "802-922-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNER",
        "first_name": "NATALIE",
        "middle_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "LONG",
            "middle_name": "TARA",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clifford Miles Karmiohl, PH.D.
• Hannah Kasper, RN
• Sara Kassel, MSW
• Katarzyna Dionne DMD, PC (Sprucewood Dental Associates, PC)

• Clinical Social Worker in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.