Judith C Daly, LICSW
Individual provider Active NPI Clinical Social Worker · Williston, VT
NPI 1295085546 · NPPES record last updated Sep 13, 2012
Key facts
- NPI
- 1295085546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0000186 (VT)
- Practice address
- 277 Blair Park Rd Ste 210
Williston, VT 05495-7885 - Phone
- (802) 338-7377
- NPI assigned
- Sep 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130130000357 | VT | Practitioner - Clinical Social Worker | 8921252834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089.0000186 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judi Daly, Licsw PLLC | Clinical | Current |
Accepting new patients |
Locations
525 Hercules Dr
Ste 1A
Colchester, VT 05446
Phone (802) 264-5333
277 Blair Park Rd
Ste 210
Williston, VT 05495
Phone (802) 264-5333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0000186 | VT | Yes |
Addresses
Primary practice location
277 Blair Park Rd Ste 210
Williston, VT 05495-7885
Mailing address
PO Box 731
Waterbury, VT 05676-0731
Phone (802) 338-7377
Other providers in Williston, VT
- Katherine Leigh Curler
- Sarah Jean Curran
- Charles Robert Cyr
- Margaret Mary Czabaj
- D. Douglas Shaw
- David W. Beeson, O.D., P.C.
- Jill B Davis
- Lori Kay Davis
- Emily Gail Dawley
- Pamela Jane Dawson
All providers in Williston, 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 13, 2012. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.