Kiersten Parks Licsw PLC
Organization Active NPI Clinical Social Worker · Essex Junction, VT
NPI 1760160105 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1760160105
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- KIERSTEN PARKS LICSW PLC
- Practice address
- 8 Pearl St
Essex Junction, VT 05452-3604 - Phone
- (802) 404-1901
- NPI assigned
- Jul 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Kiersten Parks, LICSW
- Title
- Owner
- Phone
- (802) 398-7070
Practitioners 1
-
Kiersten Parks, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231120001053 | VT | Part B Supplier - Clinic/Group Practice | 6709234461 |
Receives reassigned benefits from 1 practitioner Practice locations: Essex Junction, VT |
National Provider Directory
Locations
15 Pinecrest Dr
Essex Junction, VT 05452
Phone (802) 288-1087
37 Lincoln St
Ste 2
Essex Junction, VT 05452
Phone (802) 398-7070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
8 Pearl St
Essex Junction, VT 05452-3604
Mailing address
24 Cherokee Ave
Essex Junction, VT 05452-3556
Other providers in Essex Junction, VT
- Allison Celia Kaplan
- Christina Keating
- Trevor Leith Kelsey
- Sonya Kennedy
- Megan Kiernan
- Kayla Kinsley
- Stephanie Klein
- Darryl Lawrence Koch
- David Theodore Kolok
- KPH Healthcare Services, Inc.
All providers in Essex Junction, 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 Oct 5, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.