Organization Active NPI

Calm Waters, LLC

  • Clinical Social Worker
  • Essex Junction, VT
National Provider Identifier
1124977319
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CALM WATERS, LLC
Practice address
42 Susie Wilson Rd Unit 111
Essex Junction, VT 05452-2856
Phone
(802) 404-2185
NPI assigned
Jan 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Mallory Charland, LCSWNPI 1497599047
Title
Owner
Phone
(802) 404-2185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

42 Susie Wilson Rd Unit 111
Essex Junction, VT 05452-2856

Mailing address

42 Susie Wilson Rd Unit 111
Essex Junction, VT 05452-2856
Phone (802) 404-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260209001153 VT Part B Supplier - Clinic/Group Practice 8224517404 Receives reassigned benefits from 1 practitioner
Practice locations: Essex Junction, VT; Colchester, VT

National Provider Directory

National Provider Directory

Locations

462 Hegeman Ave
Ste 200
Colchester, VT 05446
Phone (802) 404-2185

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1124977319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SUSIE WILSON RD UNIT 111",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522856",
            "telephone_number": "802-404-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 SUSIE WILSON RD UNIT 111",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522856",
            "telephone_number": "802-404-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALM WATERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-22",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "CHARLAND",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-404-2185",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.