Meredith L Kenyon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0001054 Issued in VT

Practice address

PO Box 216
Townshend, VT 05353-0216

Phone

(028) 365-5392

Fax

(802) 365-7384

NPI assigned

Nov 30, 2010

Last updated

Jan 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Boston University School of Medicine, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Carlos G Otis Health Care Center IncGroup PAC ID 6002726387, shared by 4 NPIs, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carlos G Otis Health Care Center Inc

  dba Grace Cottage Family Health

  • Rural Health Clinic/Center
  • Townshend, VT
  • NPI 1124049960
  Medicare reassignment NPD
• Carlos G. Otis Health Care Center Inc.

  dba Grace Cottage Hospital

  • Critical Access Hospital
  • Townshend, VT
  • NPI 1255337473
  Medicare reassignment NPD
• Carlos G Otis Health Care Center Inc

  dba Grace Cottage Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Townshend, VT
  • NPI 1093843328
  NPD

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1134421928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "TOWNSHEND",
            "state": "VT",
            "postal_code": "053530216",
            "telephone_number": "802-365-5392",
            "fax_number": "802-365-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "TOWNSHEND",
            "state": "VT",
            "postal_code": "053530216",
            "telephone_number": "028-365-5392",
            "fax_number": "802-365-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "MEREDITH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0001054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drift Mavyn Licsw LLC
• Wyll Thomas Everett, MD
• Mario Hasaj, MD
• Hearth Stone Internal Medicine, LLC
• Donald J. Jackson, PA-C
• Ptrick Kiernan, MPH
• Amalia F Lee, M.D.
• Elizabeth Linder, M.D.
• Moss Linder, M.D.
• Danica GZL Lobaton Coppolo, RN, FNP-C

• Clinical Social Worker in Townshend, VT
• Providers in Townshend, 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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.