Ellen Repstad, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

312 Rockydale Rd
Bristol, VT 05443-5247

Phone

(802) 782-2426

NPI assigned

Feb 4, 2020

Last updated

Feb 4, 2020By the provider in NPPES

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

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Magnolia Counseling Solutions, PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bristol, VT
  • NPI 1013734342
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1881225258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ROCKYDALE RD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054435247",
            "telephone_number": "802-782-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 ROCKYDALE RD",
            "city": "BRISTOL",
            "state": "VT",
            "postal_code": "054435247",
            "telephone_number": "802-782-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPSTAD",
        "first_name": "ELLEN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Porter Hospital Inc (Porter Hospital Inc dba Bristol Internal Medicine)
• William Harrison Porter, MD
• Carol Ann Price, PT, LAC
• Wendie M Puls, MD
• Mia Queguiner
• Bryanne Irene Salmonsen, PA
• Amber Lynn Schreiner, PHARMD
• Hannah Scott
• Smith Management Services, LLC
• Joanne Thuesen St.John, LADC

• Clinical Social Worker in Bristol, VT
• Providers in Bristol, 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 Feb 4, 2020; 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.