Individual provider Active NPI

Elisabeth McIntee, LICSW, APHSW-C

  • Clinical Social Worker
  • Colchester, VT
National Provider Identifier
1497565956
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0135866 Issued in VT
Practice address
1110 Prim Rd
Colchester, VT 05446-6403
Phone
(802) 658-1900
Fax
(802) 860-4477
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 089.0135866 VT Primary

Addresses

Primary practice location

1110 Prim Rd
Colchester, VT 05446-6403

Mailing address

1110 Prim Rd
Colchester, VT 05446-6403
Phone (802) 658-1900

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
I20251030002216 VT Practitioner - Clinical Social Worker 8426547381

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1110 Prim Rd
Colchester, VT 05446-6403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0135866VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Vermont Health Network Home Health & Hospice, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Helen Porter Nursing Home Inc Current Accepting new patients

Locations

1110 Prim Rd
Colchester, VT 05446
Phone (802) 658-1900

Organizations & group practices 2

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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1497565956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PRIM RD",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054466403",
            "telephone_number": "802-658-1900",
            "fax_number": "802-860-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PRIM RD",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054466403",
            "telephone_number": "802-658-1900",
            "fax_number": "802-860-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTEE",
        "first_name": "ELISABETH",
        "credential": "LICSW, APHSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.