Active NPI
Susannah Zeveloff, MS, MSW LICSW
- Clinical Social Worker
- Burlington, VT
National Provider Identifier
1831579416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0134188
- Practice address
- 346 Shelburne Rd
Burlington, VT 05401-4935 - Phone
- (828) 527-6380
- NPI assigned
- Jun 9, 2015
- Last updated
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0134188 | VT | Primary |
| Social Worker | 104100000X | P009443 | NC |
Addresses
Primary practice location
346 Shelburne Rd
Burlington, VT 05401-4935
Mailing address
414 Butternut Rd
Williston, VT 05495-7303
Phone (828) 527-6380
Other practice location 1
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P009443 | NC | MD | Social Worker |
| 0134188 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Forest Psychotherapy | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Burlington, VT
- NPI 1477114668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1831579416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 BUTTERNUT RD",
"city": "WILLISTON",
"state": "VT",
"postal_code": "054957303",
"telephone_number": "828-527-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 SHELBURNE RD",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014935",
"telephone_number": "828-527-6380"
}
],
"practiceLocations": [
{
"address_1": "2670 Durham Chapel Hill Blvd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277072829",
"country_code": "US",
"telephone_number": "919-251-9001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEVELOFF",
"first_name": "SUSANNAH",
"credential": "MS, MSW LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "0134188",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P009443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.