Individual provider Active NPI

Amber L. Minton, LICSW

  • Clinical Social Worker
  • Essex Junction, VT
National Provider Identifier
1154598928
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890001232 Issued in VT
Practice address
15 Pinecrest Dr
Essex Junction, VT 05452-2912
Phone
(802) 288-1087
Fax
(802) 878-4404
NPI assigned
May 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0890001232 VT Primary

Addresses

Primary practice location

15 Pinecrest Dr
Essex Junction, VT 05452-2912

Mailing address

15 Pinecrest Dr
Essex Junction, VT 05452-2912
Phone (802) 288-1087

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090117000052 VT Practitioner - Clinical Social Worker 5991868978 Practice locations: Colchester, VT; Winooski, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Vermont College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32 Malletts Bay Ave
Suite a
Winooski, VT 05404-1960
Phone (802) 318-1089

462 Hegeman Ave
Suite 100
Colchester, VT 05446-3187
Phone 80248972357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0890001232VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1154598928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PINECREST DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522912",
            "telephone_number": "802-288-1087",
            "fax_number": "802-878-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINECREST DR",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522912",
            "telephone_number": "802-288-1087",
            "fax_number": "802-878-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "AMBER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890001232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

Verify at the official NPI Registry.