Individual provider Active NPI

Alissa M. Dumeer, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1265878052
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0092518 Issued in VT
Practice address
1 Mill St
Suite RL 29
Burlington, VT 05401-1530
Phone
(802) 863-4130
Fax
(802) 660-4085
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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 089.0092518 VT Primary

Addresses

Primary practice location

1 Mill St
Suite RL 29
Burlington, VT 05401-1530

Mailing address

1 Mill St
Suite RL 29
Burlington, VT 05401-1530
Phone (802) 863-4130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190403002060 VT Practitioner - Clinical Social Worker 3274874144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

359 Dorset St
Suite 200
South Burlington, VT 05403-6580
Phone (802) 503-5545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Counseling and Massage LLC CurrentSince Aug 25, 2022 Accepting new patients

Locations

359 Dorset St
Ste 200
South Burlington, VT 05403
Phone (802) 503-5545

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1265878052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "SUITE RL 29",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-863-4130",
            "fax_number": "802-660-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "SUITE RL 29",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-863-4130",
            "fax_number": "802-660-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMEER",
        "first_name": "ALISSA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0092518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.