Sienna Fontaine, LICSW, LADC, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089-0130118 Issued in VT

Practice address

1 Mill St Ste 324
Burlington, VT 05401-1554

Phone

(802) 318-2993

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Healing Heart Collective PLC

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1316701725

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1659890507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST STE 324",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011554",
            "telephone_number": "802-318-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST STE 324",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011554",
            "telephone_number": "802-318-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTAINE",
        "first_name": "SIENNA",
        "credential": "LICSW, LADC, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "151.0134047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089-0130118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031471",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Foley, LCMHC
• Kathryn Foley, LICSW
• Marion Foley, F. N. P.
• Owen Edward Foley, PHARMD
• Karen Marie Fondacaro, PHD
• Elizabeth Ann Forbes, MD
• Phyllis S Forbes, M.S.,CCC-SLP
• Christopher Andrew Ford, M.D.
• Jon Patrick Ford, PA-C
• Marlee Ford, MS

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, 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 Feb 7, 2024; 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.