Piper Clyborne, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0090096 Issued in VT

Practice address

1 Mill St
Ste RL-29
Burlington, VT 05401-1530

Phone

(802) 863-4130

Fax

(802) 660-4085

NPI assigned

Mar 29, 2011

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Oct 3, 2017 through Oct 3, 2027

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Transitional Services for Youth and Families

  • Community/Behavioral Health Agency
  • Burlington, VT
  • NPI 1285982884
  NPD (past)
• Mill Creek Family Services, PLLC

  • Mental Health Counselor
  • Mill Creek, WA
  • NPI 1902241623
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1508155656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "STE RL-29",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-863-4130",
            "fax_number": "802-660-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "address_2": "STE RL-29",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011530",
            "telephone_number": "802-863-4130",
            "fax_number": "802-660-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYBORNE",
        "first_name": "PIPER",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0090096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Clinger
• Bradley Choice Clopton, APRN, FNP-BC
• Jaina Clough, M.D.
• Nicole Marie Cloutier
• Gabrielle Clow, MSW
• Kellie Coakley
• Allison Cobb
• Maria Cochrane, APRN
• Jonathan Webster Coffin, LICSW, MACP, LADC
• David John Coggin-Carr, MD PHD

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, 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 May 20, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.