Active NPI
Vermont Children'S Aid Society
- Clinical Social Worker
- Winooski, VT
National Provider Identifier
1750355368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- VERMONT CHILDREN'S AID SOCIETY
- Practice address
- 79 Weaver St
Winooski, VT 05404-2038 - Phone
- (802) 655-0006
- Fax
- (802) 457-3086
- NPI assigned
- Feb 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Habif
- Title
- Executive Director
- Phone
- (802) 655-0006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
79 Weaver St
Winooski, VT 05404-2038
Mailing address
79 Weaver St
P.O. Box 127
Winooski, VT 05404-2038
Phone (802) 655-0006
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006816 | Medicaid | VT | |
| 00006116 | Other | VT | BLUE CROSS BLUE SHIELD |
| 30422436 | Medicaid | NH |
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750355368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 WEAVER ST",
"address_2": "P.O. BOX 127",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054042038",
"telephone_number": "802-655-0006",
"fax_number": "802-457-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 WEAVER ST",
"city": "WINOOSKI",
"state": "VT",
"postal_code": "054042038",
"telephone_number": "802-655-0006",
"fax_number": "802-457-3086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERMONT CHILDREN'S AID SOCIETY",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HABIF",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "802-655-0006",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006816",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00006116",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30422436",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winooski, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.