Active NPI
Marian R Kurath, LICSW
- Clinical Social Worker
- Rutland, VT
National Provider Identifier
1366526972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0890000628
- Practice address
- 7 Court SQ
Rutland, VT 05701-4030 - Phone
- (802) 775-4388
- Fax
- (802) 775-3307
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 0890000628 | VT | Primary |
Addresses
Primary practice location
7 Court SQ
Rutland, VT 05701-4030
Mailing address
94 Timber LN
Rutland, VT 05701-8999
Phone (802) 786-6932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00029832 | Other | VT | BCBS |
| 0VN2249 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0890000628 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Mental Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Rutland, VT
- NPI 1245127620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366526972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 TIMBER LN",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057018999",
"telephone_number": "802-786-6932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 COURT SQ",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014030",
"telephone_number": "802-775-4388",
"fax_number": "802-775-3307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURATH",
"first_name": "MARIAN",
"middle_name": "R",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "0890000628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00029832",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0VN2249",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.