Meaghan Malboeuf, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0123825 Issued in VT

Practice address

107 Fisher Pond Rd
Saint Albans, VT 05478-6286

Phone

(802) 524-6554

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Richford Health Center Inc

  • Family Medicine Physician
  • Swanton, VT
  • NPI 1003803297
  Medicare reassignment NPD
• The Richford Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Fairfax, VT
  • NPI 1164971495
  NPD
• The Richford Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Saint Albans, VT
  • NPI 1306592613
  NPD
• The Richford Health Center Inc

  • Family Medicine Physician
  • Alburg, VT
  • NPI 1407843543
  NPD (past)

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1750942686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-524-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786286",
            "telephone_number": "802-524-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALBOEUF",
        "first_name": "MEAGHAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0123825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "107 Fisher Pond Rd",
            "city": "Saint Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054786286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Marie Lyster, PA-C
• Katharine Tierney Mable, MA
• Kathleen Sue Maccallum, PT
• P Brian Machanic, MD
• Heidi Magill, PHYSICAL THERAPIST
• Margaret Maley, LCMHC
• Pierre Malki, PHARM.D
• Melinda Sue Malone, RPH
• David James Manchester, NP-C
• Stewart P Manchester, MD

• Clinical Social Worker in Saint Albans, VT
• Providers in Saint Albans, 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 Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.