Crescent Psychotherapy
Organization Active NPI Clinical Social Worker · Brattleboro, VT
NPI 1245845130 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1245845130
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CRESCENT PSYCHOTHERAPY
- Practice address
- 38 Park PL
Brattleboro, VT 05301-2827 - Phone
- (207) 560-6033
- NPI assigned
- Sep 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Tracey S Madigan, LCSW
- Title
- Owner
- Phone
- (207) 560-6033
Practitioners 1
-
Tracey S Madigan, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240122003903 | VT | Part B Supplier - Clinic/Group Practice | 0244641082 |
Receives reassigned benefits from 1 practitioner Practice locations: Brattleboro, VT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
38 Park PL
Brattleboro, VT 05301-2827
Mailing address
PO Box 1691
Brattleboro, VT 05302-1691
Phone (207) 560-6033
Other names
- Crescent Psychotherapy LLC
- Crescent Psychotherapy, LLC
Other providers in Brattleboro, VT
- Kimberly Marie Cowan
- Craig Rinder, MD, LLC
- Janet French Cramer
- Jamie Cranston
- Aimee Creelman
- Justin Yates Crockett
- Phoebe-Jane Crompton
- Sharon Croteau
- Sydney Obedin Crystal
- Donald Cuerdon
All providers in Brattleboro, 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 Sep 25, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.