Judevine Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JUDEVINE PSYCHOTHERAPY

Practice address

150 Dorset St Ste 245-169
South Burlington, VT 05403-6256

Phone

(802) 760-7716

NPI assigned

Jun 30, 2026

Last updated

Jun 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Fossiano, LICSW

Title

Owner

Phone

(802) 760-7716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1316864457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DORSET ST STE 245-169",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036256",
            "telephone_number": "802-760-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DORSET ST STE 245-169",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036256",
            "telephone_number": "802-760-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDEVINE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "FOSSIANO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-760-7716",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Beth Johnson, MS
• Danielle N Johnston, APRN
• Anja Jokela
• Eliza Carolyn Joseph, DPT
• Joann C Joy, PH.D.
• Juli a Larson PC Vermont Eye Associates (Vermont Eye Laser)
• Julie Spaniel D.D.S. Inc.
• Natalie Tara Kanner
• Natalie Karlin, DPT
• Clifford Miles Karmiohl, PH.D.

• Clinical Social Worker in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.