Individual provider Active NPI

Jennifer Parisi, LICSW

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1386360840
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0134961 Issued in VT
Practice address
54 W Twin Oaks Ter Ste 12-7
South Burlington, VT 05403-7140
Phone
(802) 391-9073
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 089.0134961 VT Primary

Addresses

Primary practice location

54 W Twin Oaks Ter Ste 12-7
South Burlington, VT 05403-7140

Mailing address

PO Box 9212
South Burlington, VT 05407-9212
Phone (802) 391-9073

Other practice location 1

5138 Shelburne Rd Ste 12
Shelburne, VT 05482-6698
Phone (802) 488-4654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0134961VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Health Systems P.C. CurrentSince Oct 19, 2022 Accepting new patients
Vermont Center for Resiliency, PLLC Clinical CurrentSince Oct 1, 2025 Accepting new patients
Wind River Therapy, LLC Clinical CurrentSince Jan 8, 2023 Accepting new patients

Locations

112 Lake St
Burlington, VT 05401
Phone (802) 999-4739

86 Lake St
Burlington, VT 05401
Phone (802) 862-8595

54 W Twin Oaks Ter
Ste 127
South Burlington, VT 05403
Phone (802) 391-9073

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1386360840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9212",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054079212",
            "telephone_number": "802-391-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W TWIN OAKS TER STE 12-7",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037140",
            "telephone_number": "802-391-9073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5138 Shelburne Rd Ste 12",
            "address_purpose": "LOCATION",
            "city": "Shelburne",
            "state": "VT",
            "postal_code": "054826698",
            "country_code": "US",
            "telephone_number": "802-488-4654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARISI",
        "first_name": "JENNIFER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.