Active NPI
Linda Dearstyne
- Clinical Social Worker
- Putney, VT
National Provider Identifier
1619929668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089-0000281
- Practice address
- 60 Fort Hill Rd
Putney, VT 05346-8748 - Phone
- (802) 387-4281
- NPI assigned
- May 17, 2006
- Last updated
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 089-0000281 | VT | Primary |
Addresses
Primary practice location
60 Fort Hill Rd
Putney, VT 05346-8748
Mailing address
60 Fort Hill Rd
Putney, VT 05346-8748
Phone (802) 387-4281
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61299 | Other | VT | MVP |
| 1006834 | Medicaid | VT | |
| 080-19499 | Other | VT | BLUE CROSS-BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0000281 | VT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1619929668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 FORT HILL RD",
"city": "PUTNEY",
"state": "VT",
"postal_code": "053468748",
"telephone_number": "802-387-4281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 FORT HILL RD",
"city": "PUTNEY",
"state": "VT",
"postal_code": "053468748",
"telephone_number": "802-387-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARSTYNE",
"first_name": "LINDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089-0000281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "61299",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006834",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE SHEILD",
"identifier": "080-19499",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Putney, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.