Active NPI
Lee Crider, LICSW
- Clinical Social Worker
- Barre, VT
National Provider Identifier
1245259001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089-0000482
- Practice address
- 50 Granview Dr
Barre, VT 05641-5113 - Phone
- (802) 479-2502
- NPI assigned
- Jul 19, 2006
- Last updated
- Apr 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0000482 | VT | Primary |
Addresses
Primary practice location
50 Granview Dr
Barre, VT 05641-5113
Mailing address
PO Box 647
Montpelier, VT 05601-0647
Phone (802) 479-2502
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2078940 | Other | VT | CIGNA |
| 1007325 | Medicaid | VT | |
| 00029836 | Other | VT | BC/BS OF VERMONT |
| 360274 | Other | VT | TRICARE |
| 989026C | Other | VT | MVP HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0000482 | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1245259001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "MONTPELIER",
"state": "VT",
"postal_code": "056010647",
"telephone_number": "802-479-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GRANVIEW DR",
"city": "BARRE",
"state": "VT",
"postal_code": "056415113",
"telephone_number": "802-479-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "LEE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089-0000482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2078940",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007325",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF VERMONT",
"identifier": "00029836",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "360274",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "989026C",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.