Richard R. Wrase, MSW LICSW
Individual provider Active NPI Clinical Social Worker · Bellows Falls, VT
NPI 1760036339 · NPPES record last updated Jul 31, 2019
Key facts
- NPI
- 1760036339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 089.0127276 (VT)
- Practice address
- 94 Westminster Terrace
Bellows Falls, VT 05101 - Phone
- (802) 732-8343
- Fax
- (802) 732-8329
- NPI assigned
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190910002257 | VT | Practitioner - Clinical Social Worker | 7810226289 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097.0091724 | VT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Current |
Accepting new patients | |
| Health Care & Rehabilitation Services of SE VT Inc. | Current |
Accepting new patients | |
| Health Care and Rehabilitation Services of Southeastern Vermont, Inc. | Current |
Accepting new patients |
Locations
94 Westminster Ter
Bellows Falls, VT 05101
Phone (802) 732-8343
390 River St
Springfield, VT 05156
Phone (802) 886-4567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 097.0091724 | VT | |
| Clinical Social Worker | 1041C0700X | 089.0127276 | VT | Yes |
Addresses
Primary practice location
94 Westminster Terrace
Bellows Falls, VT 05101
Mailing address
390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500
Other providers in Bellows Falls, VT
- Walgreen Co
- James Joseph Walsh
- Waypoint Counseling LLC
- Jean Elizabeth White
- Susan M. Williams
- Tomas Zavada
- Therese Marie Zocchi
All providers in Bellows Falls, VT · Clinical Social Worker in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.