Kevin Kiefaber
Individual provider Active NPI Clinical Social Worker · Rutland, VT
NPI 1285016162 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1285016162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0890000502 (VT)
- Practice address
- 78 S Main St
Rutland, VT 05701-4591 - Phone
- (802) 775-8224
- Fax
- (802) 747-7699
- NPI assigned
- Jun 26, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0890000502 | VT | Yes |
Addresses
Primary practice location
78 S Main St
Rutland, VT 05701-4591
Mailing address
78 S Main St
Rutland, VT 05701-4591
Phone (802) 775-8224
Other providers in Rutland, VT
- Louise Anne Kenney
- Michael Kenosh
- Ali J Kenyon
- Christina Huth Keshava
- Praveen H. Keshava
- Meredith A Kiesel
- Jessica Kim
- Nicole Kimbrough
- Casey Hanley Kincade
- Caitlin Eva King
All providers in Rutland, 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 Jun 26, 2015. 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.