Individual provider Active NPI

Mark I Honigman, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1376609529
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
156 College St
Suite 201
Burlington, VT 05401-8423
Phone
(802) 651-7675
Fax
(802) 860-0183
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 VT Primary

Addresses

Primary practice location

156 College St
Suite 201
Burlington, VT 05401-8423

Mailing address

156 College St
Suite 201
Burlington, VT 05401-8423
Phone (802) 651-7675

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
I20070306000205 VT Practitioner - Clinical Social Worker 1850494212 Practice locations: Burlington, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

156 College St
Burlington, VT 05401-8423
Phone (802) 651-7675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89-0000079VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376609529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 COLLEGE ST",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018423",
            "telephone_number": "802-651-7675",
            "fax_number": "802-860-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 COLLEGE ST",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018423",
            "telephone_number": "802-651-7675",
            "fax_number": "802-860-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONIGMAN",
        "first_name": "MARK",
        "middle_name": "I",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.