Dan Wargo, LADC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

1208 Issued in NH

Practice address

1749 Bowen Hill Rd
Springfield, VT 05156-9261

Phone

(802) 376-7395

NPI assigned

Sep 17, 2020

Last updated

Sep 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1750997565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 BOWEN HILL RD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051569261",
            "telephone_number": "802-376-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 BOWEN HILL RD",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051569261",
            "telephone_number": "802-376-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARGO",
        "first_name": "DAN",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dllw08110@gmail.com",
            "affiliation": "N",
            "address_1": "1749 Bowen Hill Rd",
            "city": "Springfield",
            "state": "VT",
            "country_code": "US",
            "postal_code": "051569261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Visavis Health Care Medical Group of VT PLLC
• Rhea Star Grieco Waite, N.D.
• Melanie Walker
• Mark Steven Walkup, LICSW
• Fang Wang
• Gina M Watson, LICSW
• Amber Webster
• Crissy Webster, M.A., LCMHC
• Sarah Anne Weidhaas, M.D.
• Daniel Weidner

• Addiction (Substance Use Disorder) Psychologist in Springfield, VT
• Providers in Springfield, VT by specialty
• Addiction (Substance Use Disorder) Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.