Individual provider Active NPI

Christine Hayner, LADC

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1215309844
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0102155 Issued in VT
Practice address
855 Pine St
Burlington, VT 05401-4924
Phone
(802) 488-6103
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 151-0127779 VT
Clinical Social Worker 1041C0700X 089-0102155 VT Primary

Addresses

Primary practice location

855 Pine St
Burlington, VT 05401-4924

Mailing address

208 Flynn Ave
Ste 3J
Burlington, VT 05401-5429

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
I20201030001979 VT Practitioner - Clinical Social Worker 0244640357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
151-0127779VTMDAddiction (Substance Use Disorder) Counselor
089-0102155VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Center Inc CurrentSince Aug 1, 2020 Accepting new patients
Howard Center Inc CurrentSince Aug 1, 2020 Accepting new patients

Locations

208 Flynn Ave
Ste 3J
Burlington, VT 05401
Phone (802) 488-6900

855 Pine St
Burlington, VT 05401
Phone (802) 488-6103

102 S Winooski Ave
Burlington, VT 05401
Phone (802) 488-6920

300 Flynn Ave
Burlington, VT 05401
Phone (802) 488-6934

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1215309844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FLYNN AVE",
            "address_2": "STE 3J",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014924",
            "telephone_number": "802-488-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNER",
        "first_name": "CHRISTINE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151-0127779",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0102155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.