NPIMap

Individual provider Active NPI

Kristin A Reifenrath, MSW, LICSW

  • Clinical Social Worker
  • Hartford, VT
National Provider Identifier
1669766309
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0077992 Issued in VT
Practice address
49 School Street
Hartford, VT 05047-0709
Phone
(802) 295-3031
Fax
(802) 295-0820
NPI assigned
May 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1592 NH
Clinical Social Worker 1041C0700X 089.0077992 VT Primary

Addresses

Primary practice location

49 School Street
Hartford, VT 05047-0709

Mailing address

390 River Street
Springfield, VT 05156-2930
Phone (802) 886-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000590 VT Practitioner - Clinical Social Worker 1052581063 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region Inc 103 clinicians

Practice addresses (Care Compare)

215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1592NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region Inc CurrentSince Jan 16, 2026 Accepting new patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jan 16, 2026 Accepting new patients
Community Health Centers of the Rutland Region, Inc CurrentSince Jan 16, 2026 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jan 16, 2026 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jan 16, 2026 Accepting new patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Jan 16, 2026 Accepting new patients

Locations

275 VT 30 N
Bomoseen, VT 05732
Phone (802) 468-5641

420 Grove St
Brandon, VT 05733
Phone (802) 247-6305

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

231 N Main St
Rutland, VT 05701
Phone (800) 468-9118

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

390 River St
Springfield, VT 05156
Phone (802) 886-4567

278 Vt Route 149
West Pawlet, VT 05775
Phone (800) 468-9118

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1669766309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 RIVER STREET",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562930",
            "telephone_number": "802-886-4500",
            "fax_number": "802-886-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SCHOOL STREET",
            "city": "HARTFORD",
            "state": "VT",
            "postal_code": "050470709",
            "telephone_number": "802-295-3031",
            "fax_number": "802-295-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFENRATH",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1592",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0077992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, VT

Sources for this page

Verify at the official NPI Registry.