Amy Melissa Brown
Individual provider Active NPI Clinical Social Worker · Middlebury, VT
NPI 1336779404 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1336779404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0134248 (VT)
- Practice address
- 67 Catamount Park
Middlebury, VT 05753-1397 - Phone
- (802) 388-8188
- Fax
- (802) 388-8183
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20240910001437 | VT | Practitioner - Clinical Social Worker | 7810437621 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089.0134248 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Service of Addison County, Inc | Current |
Accepting new patients | |
| Counseling Service of Addison County | Past |
Accepting new patients |
Locations
89 Main St
Middlebury, VT 05753
Phone (802) 388-6751
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0134248 | VT | Yes |
Addresses
Primary practice location
67 Catamount Park
Middlebury, VT 05753-1397
Mailing address
89 Main St
Middlebury, VT 05753-1483
Phone (802) 388-6751
Other providers in Middlebury, VT
- Willis Breen
- Kayla Brenden
- Mary Louise Brevda
- Angela Marie Brisson
- Elise Brokaw
- Jodi Alana Brown
- Jullian Brown
- Molly Brown
- Marthe Melanie Bryant Connah
- Robert Mark Burke
All providers in Middlebury, 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 Jan 17, 2020. 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.