Active NPI
Dara Stimson, Licsw, LLC
- Clinical Social Worker
- Essex Junction, VT
National Provider Identifier
1295565372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DARA STIMSON, LICSW, LLC
- Practice address
- 20 Southdown CT
Essex Junction, VT 05452-3053 - Phone
- (802) 233-7213
- NPI assigned
- Aug 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dara J Stimson, LICSW
- Title
- Owner
- Phone
- (802) 233-7213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
20 Southdown CT
Essex Junction, VT 05452-3053
Mailing address
PO Box 8142
Essex, VT 05451-8142
Phone (802) 233-7213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241114004276 | VT | Part B Supplier - Clinic/Group Practice | 3173057981 |
Receives reassigned benefits from 1 practitioner Practice locations: Essex Junction, VT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722816000000",
"number": "1295565372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8142",
"city": "ESSEX",
"state": "VT",
"postal_code": "054518142",
"telephone_number": "802-233-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SOUTHDOWN CT",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523053",
"telephone_number": "802-233-7213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARA STIMSON, LICSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A",
"authorized_official_last_name": "STIMSON",
"authorized_official_first_name": "DARA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-233-7213",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.