Individual provider Active NPI

Lynn Murphy, LICSW

  • Clinical Social Worker
  • Rutland, VT
National Provider Identifier
1578242376
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0135425 Issued in VT
Practice address
110 Merchants Row Ste 212
Rutland, VT 05701-5928
Phone
(802) 353-6554
NPI assigned
Jul 18, 2023
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 089.0135425 VT Primary

Addresses

Primary practice location

110 Merchants Row Ste 212
Rutland, VT 05701-5928

Mailing address

30 Chatterton Park
Proctor, VT 05765-1303
Phone (802) 353-6554

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
I20230907002947 VT Practitioner - Clinical Social Worker 3678937778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0135425VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Leaf Clinic PC CurrentSince Aug 7, 2023 Accepting new patients

Locations

167 N Main St
Wallingford, VT 05773
Phone (802) 353-3537

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1578242376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CHATTERTON PARK",
            "city": "PROCTOR",
            "state": "VT",
            "postal_code": "057651303",
            "telephone_number": "802-353-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MERCHANTS ROW STE 212",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057015928",
            "telephone_number": "802-353-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.