Kelly McCracken, MSW, MPH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890046663 Issued in VT

Practice address

295 N Main St
Barre, VT 05641-4108

Phone

(802) 522-6377

NPI assigned

Oct 21, 2009

Last updated

Apr 12, 2010By 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

Enrolled in VT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1518293869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1323",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056011323",
            "telephone_number": "802-522-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 N MAIN ST",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414108",
            "telephone_number": "802-522-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "MSW, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890046663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda E McAllister, LCMHC
• Kathleen McBeth, MA
• Kerry McCarthy, DPT
• Suzanne K. McCarthy, P.T.
• Kierstan C. McConnell, MA
• Sean McGinnis
• Tabitha L. McGlynn, MA
• Ian McKeen
• Megan D McKeever, LCMHC
• Kent Alan McNichols, BI

• Clinical Social Worker in Barre, VT
• Providers in Barre, 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 Apr 12, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.