Individual provider Active NPI

David S Ganapol, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1750699351
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0084088 Issued in VT
Practice address
125 College St Ste 3
Burlington, VT 05401-8444
Phone
(802) 863-2495
Fax
(802) 865-0534
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 08900084088 VT
Clinical Social Worker 1041C0700X 089.0084088 VT Primary

Addresses

Primary practice location

125 College St Ste 3
Burlington, VT 05401-8444

Mailing address

PO Box 581
Burlington, VT 05402-0581
Phone (802) 863-2495

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
I20130403000407 VT Practitioner - Clinical Social Worker 2668617184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Networks, Inc.Group PAC ID 2062502123, 4 clinicians

Practice addresses (Care Compare)

125 College St
Suite 3
Burlington, VT 05401-8444
Phone (802) 863-2495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0084088VTMDClinical Social Worker
08900084088VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Networks, Inc. Multi-Specialty CurrentSince Nov 22, 2012 Accepting new patients
Networks Clinical Current Accepting new patients

Locations

125 Saint Paul St
Ste 107
Burlington, VT 05401
Phone (802) 391-9865

149 Cherry St
Burlington, VT 05401
Phone (802) 863-2495

125 College St
Ste 3
Burlington, VT 05401
Phone (802) 316-8288

Organizations & group practices 2

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1750699351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 581",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054020581",
            "telephone_number": "802-863-2495",
            "fax_number": "802-865-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COLLEGE ST STE 3",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018444",
            "telephone_number": "802-863-2495",
            "fax_number": "802-865-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANAPOL",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "08900084088",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0084088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.