Melissa Gaudio, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0134291

Practice address

125 Saint Paul St Ste 106
Burlington, VT 05401-8462

Phone

(802) 345-7603

NPI assigned

Jul 15, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Vermont Wellness Collaborative Inc

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1134830409
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1366050494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 JAMES DR",
            "city": "MILTON",
            "state": "VT",
            "postal_code": "054683302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAINT PAUL ST STE 106",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018462",
            "telephone_number": "802-345-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Fisher Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Albans",
            "state": "VT",
            "postal_code": "054786058",
            "country_code": "US",
            "telephone_number": "802-582-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUDIO",
        "first_name": "MELISSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "089.0134291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.vermontwellness.org/",
            "affiliation": "Y",
            "affiliationName": "Vermont Wellness Collaborative LLC",
            "address_1": "8 Pearl St",
            "city": "Essex Junction",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054523604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristina Garry
• Jeremy Gartner
• Page Gaspar, NP
• Rachel Claire Gaston, LICSW
• Aaron Gates
• Eric A Gauthier, M.D.
• Madeline Gauthier
• Sarah Gauthier
• John Gaydos, AA
• Mackenzie Geary

• 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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.