Individual provider Active NPI

Loren Sara Cole, LICSW

  • Social Worker
  • Brattleboro, VT
National Provider Identifier
1487729703
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0890000247 Issued in VT
Practice address
38 Park PL
Brattleboro, VT 05301-2827
Phone
(802) 257-4555
Fax
(802) 254-1111
NPI assigned
Nov 21, 2006
Last updated
Dec 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0890000247 VT Primary

Addresses

Primary practice location

38 Park PL
Brattleboro, VT 05301-2827

Mailing address

38 Park PL
Brattleboro, VT 05301-2827
Phone (802) 257-4555

Other identifiers 2

IdentifierTypeStateIssuer
OVN0492MedicaidVT
8370OtherVTBLUE CROSS BLUE SHIELD

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
I20060327000443 VT Practitioner - Clinical Social Worker 3577571959 Practice locations: Brattleboro, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

38 Park PL
Brattleboro, VT 05301-2827
Phone (802) 257-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0890000247VTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1487729703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PARK PL",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012827",
            "telephone_number": "802-257-4555",
            "fax_number": "802-254-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 PARK PL",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053012827",
            "telephone_number": "802-257-4555",
            "fax_number": "802-254-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LOREN",
        "middle_name": "SARA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VT",
            "license": "0890000247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0492",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8370",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

Verify at the official NPI Registry.