Mary Elizabeth Pickener, LICSW, LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890001112 Issued in VT

Practice address

64 Hathaway Inn Drive
Saint Albans, VT 05478

Phone

(802) 309-0555

NPI assigned

Feb 7, 2025

Last updated

Feb 7, 2025By 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

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": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1164237244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "SAINT ALBANS BAY",
            "state": "VT",
            "postal_code": "054810424",
            "telephone_number": "802-309-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HATHAWAY INN DRIVE",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "05478",
            "telephone_number": "802-309-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "LICSW, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890001112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle D Pelkey, LICSW
• Matthew Perret, LICSW
• Amanda Peterson, PT, DPT
• Daniel Phillips
• Lindsay Phillips
• Amy Pierzchalski, CMT
• Jacquelyn Pietrobono
• Audrey Rose Pikna, OTR/L
• Planned Parenthood of Northern New England
• Michele Pompilio-Fry, OTR

• Clinical Social Worker in Saint Albans, VT
• Providers in Saint Albans, 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 Feb 7, 2025; 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.