Individual provider Active NPI

Carla Hancock, LICSW

  • Clinical Social Worker
  • Plainfield, VT
National Provider Identifier
1760760110
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0001260 Issued in VT
Practice address
849 Gonyeau Rd
Plainfield, VT 05667-9664
Phone
(802) 595-0639
Fax
(844) 308-4670
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 089.0001260 VT Primary

Addresses

Primary practice location

849 Gonyeau Rd
Plainfield, VT 05667-9664

Mailing address

849 Gonyeau Rd
Plainfield, VT 05667-9664
Phone (802) 595-0639

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
I20170327000258 VT Practitioner - Clinical Social Worker 8921383357 Practice locations: Montpelier, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0001260VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Services, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1760760110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 GONYEAU RD",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679664",
            "telephone_number": "802-595-0639",
            "fax_number": "844-308-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 GONYEAU RD",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679664",
            "telephone_number": "802-595-0639",
            "fax_number": "844-308-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "CARLA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0001260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, VT

Sources for this page

Verify at the official NPI Registry.