Bruce A Brown, M.S.W.
Individual provider Active NPI Clinical Social Worker · S Burlington, VT
NPI 1245448356 · NPPES record last updated May 10, 2010
Key facts
- NPI
- 1245448356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089-0000555 (VT)
- Practice address
- 34 Patchen Rd
S Burlington, VT 05403-5704 - Phone
- (802) 658-4208
- Fax
- (802) 658-2234
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
131 S St
Essex JCT, VT 05452-3546
277 Blair Park Rd
Suite 210
Williston, VT 05495-7885
Phone (802) 760-9427
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080923000808 | VT | Practitioner - Clinical Social Worker | 7719054394 | Practice locations: Williston, VT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000306 | VT | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000306 | VT | |
| Clinical Social Worker | 1041C0700X | 089-0000555 | VT | Yes |
Addresses
Primary practice location
34 Patchen Rd
S Burlington, VT 05403-5704
Mailing address
131 South St
Essex JCT, VT 05452-3546
Phone (802) 760-9427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0VN 1840 | Medicaid | VT |
Other providers in S Burlington, VT
- Apria Healthcare LLC
- Carol L Blattspieler
- Tina L Bleau
- Stephanie A. Burch
- Douglas M. Campbell
- Cara M. Capparelli
- Champlain Medical Associates PLLC
- Sara T. Child
All providers in S Burlington, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.