Nancy B Birge, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · White River Junction, VT
NPI 1275874802 · NPPES record last updated Mar 6, 2013
Key facts
- NPI
- 1275874802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0001253 (VT)
- Practice address
- 2458 Christian St
Suite 214
White River Junction, VT 05001-9855 - Phone
- (802) 356-9393
- Fax
- (802) 356-9393
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089.0001253 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy B Birge, Licsw, PLC | Clinical | Past | Accepting new patients |
| Sharon L. Goedkoop, PLLC | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0001253 | VT | Yes |
Addresses
Primary practice location
2458 Christian St
Suite 214
White River Junction, VT 05001-9855
Mailing address
PO Box 842
Wilder, VT 05088-0842
Phone (802) 226-7217
Other providers in White River Junction, VT
- Louise A Berube
- Sharon Regula Besso
- Stephen Bettwieser
- Peter Joseph Bill
- Edward R Billings
- Laura Bitterman
- Carol Lee Blackwood
- Eric Barnes Bland
- Alicia Blazer
- Brooke Blicher
All providers in White River Junction, 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 Mar 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.