Kathrine Acus, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0134131 Issued in VT

Practice address

1138 Pine St
Burlington, VT 05401

Phone

(802) 488-6000

Fax

(802) 488-6919

NPI assigned

Nov 2, 2015

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

• Miss Kathrine Baldner Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2018.

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1225401136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FLYNN AVE STE 3J",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015420",
            "telephone_number": "802-488-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "05401",
            "telephone_number": "802-488-6000",
            "fax_number": "802-488-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434024740",
            "country_code": "US",
            "telephone_number": "419-352-4624 x13",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1084 S Main St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434024740",
            "country_code": "US",
            "telephone_number": "419-352-4624 x13",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACUS",
        "first_name": "KATHRINE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1500947",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0134131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRINE",
            "last_name": "BALDNER",
            "prefix": "MISS",
            "credential": "MT-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy M Abolade
• Amer Khaled Abu Alfa, M.D.
• Faiz Jaspar Abu-Jaber, MD
• Brittney Alyssa Accavallo, RN
• Daniel John Ackil, DO
• Adam Grundt PLC
• Amy Lynn Adams, LADC
• Elizabeth Adams, MA CCC A
• Rachel Adelsheim, MD
• Steven Ades, MD

• All providers in Burlington, VT
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.