Amandine Mallet, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0124382 Issued in VT

Practice address

152 Home Ave
Burlington, VT 05401-5046

Phone

(617) 750-6905

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

University of Vermont College of Medicine, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kind Minds LLC

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1851084503
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1851068340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HOME AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015046",
            "telephone_number": "617-750-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 HOME AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015046",
            "telephone_number": "617-750-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLET",
        "first_name": "AMANDINE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0124382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6707912",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elise Makowski, RD, ATC
• Deborah Malgeri
• Ajai K. Malhotra, MD
• Nancy Renae Malhotra, ACNP-BC
• Elizabeth N Malik, MD
• John Robert Malloy Jr., MD
• Emma Allison Malone, CAA
• Kathleen Thayer Maloney, PA
• Mary E Maloney, M.D.
• Christopher Steven Manfred, M.D.

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.