Individual provider Active NPI

Jessica Kessler, LICSW

  • Clinical Social Worker
  • Westminster, VT
National Provider Identifier
1922370295
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0080099 Issued in VT
Practice address
1929 Back Westminster Rd
Westminster, VT 05158-9779
Phone
(802) 376-7151
NPI assigned
Feb 2, 2012
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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 089.0080099 VT Primary

Addresses

Primary practice location

1929 Back Westminster Rd
Westminster, VT 05158-9779

Mailing address

2091 Main St
Cavendish, VT 05142-9710
Phone (802) 376-7151

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
I20121113000576 VT Practitioner - Clinical Social Worker 4981855228 Practice locations: Westminster, VT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1922370295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 MAIN ST",
            "city": "CAVENDISH",
            "state": "VT",
            "postal_code": "051429710",
            "telephone_number": "802-376-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 BACK WESTMINSTER RD",
            "city": "WESTMINSTER",
            "state": "VT",
            "postal_code": "051589779",
            "telephone_number": "802-376-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "JESSICA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0080099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, VT

Sources for this page

Verify at the official NPI Registry.