Individual provider Active NPI

Cyrus Patten, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1871962332
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0095340 Issued in VT
Practice address
125 Saint Paul St
Ste 108
Burlington, VT 05401-8462
Phone
(802) 316-8288
NPI assigned
Sep 15, 2015
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 089.0095340 VT Primary

Addresses

Primary practice location

125 Saint Paul St
Ste 108
Burlington, VT 05401-8462

Mailing address

125 Saint Paul St
Ste 108
Burlington, VT 05401-8462
Phone (802) 316-8288

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
I20230303001494 VT Practitioner - Clinical Social Worker 0143559823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 Saint Paul St
Suite 125
Burlington, VT 05401-8462
Phone (802) 316-8288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vermont Wellness Collaborative Inc Clinical CurrentSince Jan 30, 2023 Accepting new patients
Praxis Inc. Clinical CurrentSince Nov 16, 2015 Accepting new patients

Locations

125 College St
Ste 3
Burlington, VT 05401
Phone (802) 316-8288

125 Saint Paul St
Ste 108
Burlington, VT 05401
Phone (802) 316-8288

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1871962332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SAINT PAUL ST",
            "address_2": "STE 108",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018462",
            "telephone_number": "802-316-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SAINT PAUL ST",
            "address_2": "STE 108",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018462",
            "telephone_number": "802-316-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "CYRUS",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0095340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.