Abigail Matchette, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0093350 Issued in VT

Practice address

1002A Ethan Allen Ave
Essex Junction, VT 05452-4014

Phone

(802) 304-0703

NPI assigned

Feb 6, 2014

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspect Counseling Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waterbury Center, VT
  • NPI 1609646736
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1477977866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002A ETHAN ALLEN AVE",
            "city": "ESSEX",
            "state": "VT",
            "postal_code": "054524014",
            "telephone_number": "802-304-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002A ETHAN ALLEN AVE",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524014",
            "telephone_number": "802-304-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATCHETTE",
        "first_name": "ABIGAIL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0093350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Nicole Malle
• Mansfield Physical Therapy Limited Partnership
• Gregory John Martin, LMHC, NCC
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Kristen L Massingham, CPNP
• Ezra Maurer, M.A.
• Maybeck Counseling LLC
• Jared Walter Maybeck, LCMHC
• Margo Maybeck
• Morgan A Meier, LICSW, LMSW, LCSW

• Clinical Social Worker in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.