Individual provider Active NPI

Angela Maria Paoli, M.S.W. (LICSW)

  • Clinical Social Worker
  • South Burlington, VT
National Provider Identifier
1487745873
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0000717 Issued in VT
Practice address
27 Rye Cir
South Burlington, VT 05403-7632
Phone
(802) 654-7607
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 089-0000717 VT Primary

Addresses

Primary practice location

27 Rye Cir
South Burlington, VT 05403-7632

Mailing address

27 Rye Cir
South Burlington, VT 05403-7632
Phone (802) 654-7607

Other practice location 1

883 Blakely Rd
Colchester, VT 05446-4417
Phone (802) 847-2055

Other identifiers 1

IdentifierTypeStateIssuer
0VN1888MedicaidVT

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
I20081126000377 VT Practitioner - Clinical Social Worker 1951461565 Practice locations: South Burlington, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27 Rye Cir
South Burlington, VT 05403-7632
Phone 80265476073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1487745873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 RYE CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037632",
            "telephone_number": "802-654-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 RYE CIR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037632",
            "telephone_number": "802-654-7607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "883 Blakely Rd",
            "address_purpose": "LOCATION",
            "city": "Colchester",
            "state": "VT",
            "postal_code": "054464417",
            "country_code": "US",
            "telephone_number": "802-847-2055",
            "fax_number": "802-847-1688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAOLI",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "M.S.W. (LICSW)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0000717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1888",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.