Charlotte McCorkel, LICSW

Individual provider Active NPI Clinical Social Worker · Burlington, VT

NPI 1366735565 · NPPES record last updated Apr 30, 2025

Key facts

NPI
1366735565
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0890063556 (VT)
Practice address
1138 Pine St
Burlington, VT 05401-5353
Phone
(802) 488-6000
Fax
(802) 488-6919
NPI assigned
May 20, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0890063556VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Vermont Health Network Home Health & Hospice, Inc. Past
since Jan 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0890063556 VT Yes

Addresses

Primary practice location

1138 Pine St
Burlington, VT 05401-5353

Mailing address

102 S Winooski Ave
Burlington, VT 05401-7406
Phone (802) 488-6620

Other providers in Burlington, VT

All providers in Burlington, VT · Clinical Social Worker in Vermont

Sources for this page

Verify at the official NPI Registry.