Camille Thomen-Brown, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0128635 Issued in VT

Practice address

32 Little Eagle Bay
Burlington, VT 05408-2783

Phone

(513) 295-2121

NPI assigned

Mar 11, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1285050583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LITTLE EAGLE BAY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082783",
            "telephone_number": "513-295-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LITTLE EAGLE BAY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082783",
            "telephone_number": "513-295-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10P Gill St",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018011721",
            "country_code": "US",
            "telephone_number": "781-932-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E State St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056023112",
            "country_code": "US",
            "telephone_number": "513-295-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMEN-BROWN",
        "first_name": "CAMILLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "219658",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0128635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Erb Thibault, PT, ATC
• Alissa A. Thomas, M.D.
• Beth Anne Thomas, PA-C
• Kristine J Thomas, P.A.
• Ryan Mitchell Thomas, MD
• Adam Boake Thompson
• Erik Converse Thompson, MA
• Nathaniel Clark Thompson, M.D.
• Spencer Reed Thompson
• Trishia Thompson

• All providers in Burlington, VT
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.