Elisabeth Blair, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0135443 Issued in VT

Practice address

15 Brickyard Rd
Essex Junction, VT 05452-4443

Phone

(208) 863-4047

NPI assigned

Aug 10, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1558044032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E SHORE RD",
            "city": "ISLE LA MOTTE",
            "state": "VT",
            "postal_code": "054639764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRICKYARD RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524443",
            "telephone_number": "208-863-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ELISABETH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Benoit, EP
• Allison Renee Besse, DMD
• Rebecca Betts
• Bio Medic Appliances Inc
• Jodie Lyn Bisson, M.A.
• Sheren Boca, PHARMD / RPH
• Mary Carter Bradshaw, MSW
• Nicole Lafko Breslend, PH.D.
• Shane Isaac Brichacek, PHARMD
• Laura Bristol, DPT

• Clinical Social Worker in Essex Junction, VT
• Providers in Essex Junction, 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 Oct 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.