Heather Chaudoir, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0103255 Issued in VT

Practice address

3 Academy Avenue
Saxtons River, VT 05154

Phone

(802) 869-2747

Fax

(802) 869-2746

NPI assigned

Sep 16, 2014

Last updated

Oct 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1679975163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "SAXTONS RIVER",
            "state": "VT",
            "postal_code": "051540011",
            "telephone_number": "802-869-2747",
            "fax_number": "802-869-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ACADEMY AVENUE",
            "city": "SAXTONS RIVER",
            "state": "VT",
            "postal_code": "05154",
            "telephone_number": "802-869-2747",
            "fax_number": "802-869-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDOIR",
        "first_name": "HEATHER",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0103255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024123",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Frances Chaudoir, LCMHC
• Christina Louise Coyne, LCSW
• Sara Alice Burnham Dunbar, ATC, RN, EMT
• Matthew Eddy, A.T.C.
• Fieldstone Counseling LLC
• Margaret Heale, RN WOCN

• Clinical Social Worker in Saxtons River, VT
• Providers in Saxtons River, 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 Oct 8, 2015; 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.