Individual provider Active NPI

Laura Philipps, LICSW

  • Clinical Social Worker
  • Montpelier, VT
National Provider Identifier
1336741289
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0129084 Issued in VT
Practice address
162 Elm St
Montpelier, VT 05602-2896
Phone
(802) 595-3560
NPI assigned
Nov 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0129084 VT Primary

Addresses

Primary practice location

162 Elm St
Montpelier, VT 05602-2896

Mailing address

PO Box 63
Adamant, VT 05640-0063
Phone (802) 595-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NC Psychotherapy LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

162 Elm St
Montpelier, VT 05602
Phone (802) 391-9002

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1336741289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "ADAMANT",
            "state": "VT",
            "postal_code": "056400063",
            "telephone_number": "802-595-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 ELM ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022896",
            "telephone_number": "802-595-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPS",
        "first_name": "LAURA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-14",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0129084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.