Jeremy Silcox, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Waitsfield, VT
NPI 1669722419 · NPPES record last updated Apr 10, 2025
Key facts
- NPI
- 1669722419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0136239 (VT)
- Practice address
- 859 Old County Rd
Waitsfield, VT 05673-6221 - Phone
- (802) 496-9715
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089.0136239 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Youth and Family Services | Past | Accepting new patients | |
| Red Top Meadows | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0136239 | VT | Yes |
Addresses
Primary practice location
859 Old County Rd
Waitsfield, VT 05673-6221
Mailing address
40 Deerfield Dr
Waitsfield, VT 05673-6293
Phone (307) 413-5377
Other providers in Waitsfield, VT
- Roberta C. Rood, Licsw
- Katelyn Roche
- Roberta C Rood
- Devin Graham Rose
- Jennifer Selland
- Samantha Silverberg
- Hannah Ruth Skalecke
- Steven Skalecke
- Small Dog Electronics Inc.
- Nancy Marie Smyth
All providers in Waitsfield, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.