Individual provider Active NPI

Marilyn Gilbert Gabriel, PH.D.

  • Clinical Social Worker
  • Grafton, VT
National Provider Identifier
1710965884
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
275 Woodchuck Hill Road
Grafton, VT 05146-0223
Phone
(802) 843-2322
NPI assigned
Jan 9, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

275 Woodchuck Hill Road
Grafton, VT 05146-0223

Mailing address

PO Box 223
Grafton, VT 05146-0223
Phone (802) 843-2322

Other identifiers 7

IdentifierTypeStateIssuer
133184OtherVTMHN
14Y008340VT01OtherNHANTHEM BC/BS OF NH
18286OtherVTVT BC/BS
383795OtherVTMVP
OVN0059MedicaidVT
30423639MedicaidNH
5824201OtherVTAETNA INSURANCE COMPANY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000837 VT Practitioner - Clinical Social Worker 5193765808 Practice locations: Grafton, VT; Windsor, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

275 Wood Chuck Hill Rd
Wood Chuck Hill Farm
Grafton, VT 05146-0223
Phone (802) 843-2322

PO Box
Suite 223
Grafton, VT 05146-0223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
VT 89-0000251VTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710965884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "GRAFTON",
            "state": "VT",
            "postal_code": "051460223",
            "telephone_number": "802-843-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 WOODCHUCK HILL ROAD",
            "city": "GRAFTON",
            "state": "VT",
            "postal_code": "051460223",
            "telephone_number": "802-843-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "MARILYN",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "133184",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS OF NH",
            "identifier": "14Y008340VT01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BC/BS",
            "identifier": "18286",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "383795",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN0059",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423639",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE COMPANY",
            "identifier": "5824201",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, VT

Sources for this page

Verify at the official NPI Registry.