Individual provider Active NPI

Patricia Seelan, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1225066558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0890000269 Issued in VT
Practice address
231 Maple St
Suite 1
Burlington, VT 05401-4562
Phone
(802) 862-1509
Fax
(802) 862-9339
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0890000269 VT Primary

Addresses

Primary practice location

231 Maple St
Suite 1
Burlington, VT 05401-4562

Mailing address

231 Maple St
Suite 1
Burlington, VT 05401-4562
Phone (802) 862-1509

Other identifiers 1

IdentifierTypeStateIssuer
0VN0488MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0890000269VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Lawson Licsw LLC Clinical PastSince Jan 12, 2023 Accepting new patients

Organizations & group practices 1

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225066558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAPLE ST",
            "address_2": "SUITE 1",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014562",
            "telephone_number": "802-862-1509",
            "fax_number": "802-862-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAPLE ST",
            "address_2": "SUITE 1",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014562",
            "telephone_number": "802-862-1509",
            "fax_number": "802-862-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELAN",
        "first_name": "PATRICIA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN0488",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.