Maura Nydegger, LICSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0095256 Issued in VT

Practice address

199 Main St Unit C
Shoreham, VT 05770-8807

Phone

(802) 349-8579

NPI assigned

Dec 4, 2018

Sex

Female

Sole proprietor

Yes

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.

• Maura Nydegger Licsw PLLC

  • Clinical Social Worker
  • Shoreham, VT
  • NPI 1902564909

  Clinical, VT

  Medicare reassignment NPD Authorized official
• Counseling Service of Addison County, Inc

  • Clinic/Center
  • Middlebury, VT
  • NPI 1336278985

  VT

  Medicare reassignment NPD
• Counseling Service of Addison County, Inc

  • Community/Behavioral Health Agency
  • Middlebury, VT
  • NPI 1215394333
  NPD

Specialty

Clinical Social Worker

Education

Denver College of Medicine - NLG, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2021.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1477023372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 MAIN ST UNIT C",
            "city": "SHOREHAM",
            "state": "VT",
            "postal_code": "057708807",
            "telephone_number": "802-349-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 MAIN ST UNIT C",
            "city": "SHOREHAM",
            "state": "VT",
            "postal_code": "057708807",
            "telephone_number": "802-349-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDEGGER",
        "first_name": "MAURA",
        "credential": "LICSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0095256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Centers of the Rutland Region, Inc
• Allan Pond Curtiss Jr., MD
• Michael A Markowitz, M.D.
• Maura Nydegger Licsw PLLC
• Jean P Morgan, FNP
• Gwen Madeline Stafford

• All providers in Shoreham, VT
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.