Active NPI
Kathleen Paine, LICSW
- Clinical Social Worker
- Saint Albans, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089-0001191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346578358 | Medicaid | VT |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0001191 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calm Reflections Psychotherapy, LLC | Clinical | Current | Accepting new patients |
| Elite Health and Wellness LLC | Past | 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.
-
- Clinical Social Worker
- Saint Albans, VT
- NPI 1518369990
-
- Physical Therapist
- Saint Albans, VT
- NPI 1164722716
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.