Knox Wilder, MSW

Individual provider Active NPI Professional Counselor · Springfield, VT

NPI 1851922348 · NPPES record last updated Jul 9, 2021

Key facts

NPI
1851922348
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
097.0134948 (VT)
Practice address
390 River Street
Springfield, VT 05156-2226
Phone
(802) 886-4500
Fax
(802) 886-4560
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
097.0134948VTMDProfessional Counselor
0970134948VTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0970134948 VT
Clinical Social Worker 1041C0700X
Professional Counselor 101YP2500X 097.0134948 VT Yes

Addresses

Primary practice location

390 River Street
Springfield, VT 05156-2226

Mailing address

390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500

Other names

  • Knox Huppert Other name

Electronic endpoints

TypeEndpointUseAffiliation
Other URL knox.huppert@csoinc.org Community Support Options, Inc.

Other providers in Springfield, VT

All providers in Springfield, VT · Professional Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.