Myra Elaine Woodruff, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890000919 Issued in VT

Practice address

3 Main St
Suite 216
Burlington, VT 05401-5216

Phone

(802) 651-2318

Fax

(801) 899-4880

NPI assigned

Jun 3, 2006

Last updated

Feb 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201910400000",
    "number": "1346288909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OUTLOOK LN",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652532",
            "telephone_number": "802-861-2318",
            "fax_number": "802-899-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAIN ST",
            "address_2": "SUITE 216",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015216",
            "telephone_number": "802-651-2318",
            "fax_number": "801-899-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "MYRA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009230",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Jane Wood, DCLINPSY
• Kerry R Wood, PT
• Marci Wood, PHARMD
• Meaghan Cecilia Wood, DPM
• Valerie Woodhouse, LICSW
• Mariellen Woods, LICSW
• Barbara Ann Worgan, N.P.
• Trevor Work
• Workability
• Kathryn Workman-Daniels, PH.D.

• Clinical Social Worker in Burlington, VT
• Providers in 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 Feb 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.