Active NPI
Maria T D'Haene, LICSW
- Clinical Social Worker
- Barre, VT
National Provider Identifier
1619073541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089-0000762
- Practice address
- 297 N Main St
Suite 3
Barre, VT 05641-4503 - Phone
- (802) 371-9479
- NPI assigned
- Sep 16, 2006
- Last updated
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0000762 | VT | Primary |
Addresses
Primary practice location
297 N Main St
Suite 3
Barre, VT 05641-4503
Mailing address
535 Cutler Corner Rd
Barre, VT 05641-9772
Phone (802) 371-9479
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 989026C | Other | VT | MVP HEALTHCARE |
| 00059708 | Other | VT | BC/BS OF VT |
| 360275 | Other | VT | TRICARE |
| 2174788 | Other | VT | CIGNA |
| 1010098 | Medicaid | VT |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Mental Health Services, Inc. | Clinical | Current | Accepting new patients |
| Washington County Mental Health Services, Inc. | Clinical | Current | Accepting new patients |
| Sarah D Counseling Services, LLC | Clinical | Past | Accepting new patients |
Locations
579 S Barre Rd
Barre, VT 05641
Phone (802) 476-1480
174 Hospital Loop
Berlin, VT 05602
Phone (802) 223-6328
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Berlin, VT
- NPI 1922026996
Clinical
-
dba Treatment Associates
- Substance Use Disorder Rehabilitation Clinic/Center
- Montpelier, VT
- NPI 1568210276
Clinical
-
- Clinical Social Worker
- Barre, VT
- NPI 1982183927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1619073541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CUTLER CORNER RD",
"city": "BARRE",
"state": "VT",
"postal_code": "056419772",
"telephone_number": "802-371-9479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 N MAIN ST",
"address_2": "SUITE 3",
"city": "BARRE",
"state": "VT",
"postal_code": "056414503",
"telephone_number": "802-371-9479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'HAENE",
"first_name": "MARIA",
"middle_name": "T",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089-0000762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "989026C",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF VT",
"identifier": "00059708",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "360275",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2174788",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010098",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.