Active NPI
Jane Kunin, LICSW
- Clinical Social Worker
- Bennington, VT
National Provider Identifier
1780694091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089-0000906
- Practice address
- 100 Ledgehill Rd
Bennington, VT 05201-2273 - Phone
- (802) 442-5491
- Fax
- (802) 442-4910
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 089-0000906 | VT | |
| Social Worker | 104100000X | 089-0000906 | VT | |
| Clinical Social Worker | 1041C0700X | 089-0000906 | VT | Primary |
Addresses
Primary practice location
100 Ledgehill Rd
Bennington, VT 05201-2273
Mailing address
PO Box 588
Bennington, VT 05201-0588
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68030 | Other | BLUE CROSS | |
| 364790 | Other | MANAGED HEALTH NET | |
| 1010664 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0000906 | VT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780694091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 588",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052010588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LEDGEHILL RD",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012273",
"telephone_number": "802-442-5491",
"fax_number": "802-442-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNIN",
"first_name": "JANE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "089-0000906",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VT",
"license": "089-0000906",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089-0000906",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "68030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NET",
"identifier": "364790",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010664",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.