Individual provider Active NPI

Maria T D'Haene, LICSW

  • Clinical Social Worker
  • Barre, VT
National Provider Identifier
1619073541
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089-0000762 Issued in VT
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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 089-0000762 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

IdentifierTypeStateIssuer
989026COtherVTMVP HEALTHCARE
00059708OtherVTBC/BS OF VT
360275OtherVTTRICARE
2174788OtherVTCIGNA
1010098MedicaidVT

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
I20080616000184 VT Practitioner - Clinical Social Worker 3577634732 Reassigns benefits to 1 organization
Practice locations: Barre, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Mental Health Services, Inc. Clinical CurrentSince Apr 26, 2012 Accepting new patients
Washington County Mental Health Services, Inc. Clinical CurrentSince Apr 26, 2012 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.

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

Verify at the official NPI Registry.