Individual provider Active NPI

Barry Bruce Rufenacht, LCSW, LADC

  • Clinical Social Worker
  • Berlin, VT
National Provider Identifier
1619056579
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000391 Issued in VT
Practice address
641 Comstock Rd
Berlin, VT 05602-9610
Phone
(802) 223-8952
Fax
(802) 223-2665
NPI assigned
Nov 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000218 VT
Clinical Social Worker 1041C0700X 000391 VT Primary

Addresses

Primary practice location

641 Comstock Rd
Berlin, VT 05602-9610

Mailing address

641 Comstock Rd
Berlin, VT 05602-9610
Phone (802) 223-8952

Other identifiers 3

IdentifierTypeStateIssuer
1006712MedicaidVT
00028150OtherVTBCBS
1055408OtherVTCIGNA

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
I20140819000197 VT Practitioner - Clinical Social Worker 3779700505 Practice locations: Berlin, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

641 Comstock Rd
Berlin, VT 05602-9610
Phone (802) 223-8952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000218VTMDAddiction (Substance Use Disorder) Counselor
000391VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619056579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 COMSTOCK RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029610",
            "telephone_number": "802-223-8952",
            "fax_number": "802-223-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 COMSTOCK RD",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029610",
            "telephone_number": "802-223-8952",
            "fax_number": "802-223-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFENACHT",
        "first_name": "BARRY",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LCSW, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000218",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "000391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006712",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00028150",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1055408",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.