Ronald P. Ceppetelli, LICSW
Individual provider Active NPI Clinical Social Worker · Windsor, VT
NPI 1710089396 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1710089396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089-0000771 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-7093
- Fax
- (802) 674-7119
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0000771 | VT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0000771 | VT | Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
2975 Route 44
Brownsville, VT 05037-9760
Phone (802) 674-5576
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN2170 | Medicaid | VT |
Other providers in Windsor, VT
- Jenna Mary Brown
- Akeem Ademola Busari
- Joshua Aaron Cascadden
- Cedar Hill Health Care Corporation
- Cedar Hill Healthcare Center
- Ashley Marie Chapdelaine
- Amanda M Clark
- Darcy Cole
- Francesco Congiusta
- Connecticut Valley Addiction Recovery, Inc
All providers in Windsor, 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 Jul 9, 2007. 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.