Individual provider Active NPI

Kathleen Paine, LICSW

  • Clinical Social Worker
  • Saint Albans, VT
National Provider Identifier
1346578358
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0001191 Issued in VT
Practice address
6 Fairfield Hill Rd
Saint Albans, VT 05478-9767
Phone
(802) 393-3382
Fax
(844) 203-6133
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 089-0001191 VT Primary

Addresses

Primary practice location

6 Fairfield Hill Rd
Saint Albans, VT 05478-9767

Mailing address

9 Krusch Dr
Jeffersonville, VT 05464-4400
Phone (802) 393-3382

Other practice location 1

79 Coventry St Ste 2A
Newport, VT 05855-2100
Phone (802) 393-3382

Other practice location 2

316 Main St Ste 203
Newport, VT 05855-5579
Phone (802) 393-3382

Other practice location 3

9 Krusch Dr
Jeffersonville, VT 05464-4400
Phone (802) 393-3382

Other identifiers 1

IdentifierTypeStateIssuer
1346578358MedicaidVT

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100108000208 VT Practitioner - Clinical Social Worker 6800937160 Reassigns benefits to 1 organization
Practice locations: Saint Albans, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

248 N Main St
Suite 2
Saint Albans, VT 05478-1731
Phone (802) 393-3382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089-0001191VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Reflections Psychotherapy, LLC Clinical CurrentSince Aug 19, 2014 Accepting new patients
Elite Health and Wellness LLC PastSince Jan 25, 2011 Accepting new patients

Locations

248 N Main St
Ste 2
Saint Albans, VT 05478
Phone (802) 393-3382

97 N Main St
Ste 307D
Saint Albans, VT 05478
Phone (802) 393-3382

Organizations & group practices 2

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": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1346578358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KRUSCH DR",
            "city": "JEFFERSONVILLE",
            "state": "VT",
            "postal_code": "054644400",
            "telephone_number": "802-393-3382",
            "fax_number": "844-203-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FAIRFIELD HILL RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054789767",
            "telephone_number": "802-393-3382",
            "fax_number": "844-203-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Coventry St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "VT",
            "postal_code": "058552100",
            "country_code": "US",
            "telephone_number": "802-393-3382",
            "fax_number": "844-203-6133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "VT",
            "postal_code": "058555579",
            "country_code": "US",
            "telephone_number": "802-393-3382",
            "fax_number": "844-203-6133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Krusch Dr",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "VT",
            "postal_code": "054644400",
            "country_code": "US",
            "telephone_number": "802-393-3382",
            "fax_number": "844-203-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINE",
        "first_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0001191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346578358",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

Verify at the official NPI Registry.