Bennington Behavioral Health PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0111990 Issued in VT

Legal business name

BENNINGTON BEHAVIORAL HEALTH PLLC

Practice address

326 Elm St
Bennington, VT 05201-2211

Phone

(203) 570-8778

NPI assigned

Jan 3, 2017

Last updated

Jan 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Thunberg, LICSWNPI 1275765935

Title

Owner

Phone

(203) 570-8778

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Thunberg

  • Clinical Social Worker
  • North Adams, MA
  • NPI 1275765935
  Authorized official Same address or phone

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1629513452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ELM ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012211",
            "telephone_number": "203-570-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ELM ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012211",
            "telephone_number": "203-570-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNINGTON BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "THUNBERG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-570-8778",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0111990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew M Beckerman, MSW
• Tiffany Belville
• Nancy Bemak, LCMHC
• Roberta Karibo Bennett, M.D.
• Bennington Associates in Internal Medicine
• Bennington Cardiology PC
• Bennington Care Center, LLC (MissionCare at Bennington)
• Bennington College Corporation
• Bennington College Health Services
• Bennington College Psychological Services

• Clinical Social Worker in Bennington, VT
• Providers in Bennington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.