Individual provider Active NPI

Chloe Smith, LICSW

  • Clinical Social Worker
  • Waterbury, VT
National Provider Identifier
1952139735
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0135870 Issued in VT
Practice address
1314 Scrabble HL
Waterbury, VT 05676-9359
Phone
(603) 831-3515
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 089.0135870 VT Primary

Addresses

Primary practice location

1314 Scrabble HL
Waterbury, VT 05676-9359

Mailing address

1314 Scrabble HL
Waterbury, VT 05676-9359
Phone (603) 831-3515

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
I20250307000244 VT Practitioner - Clinical Social Worker 7810418761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Fisher Rd
Suite 1 2
Berlin, VT 05602-9000
Phone (802) 225-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0135870VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Jan 28, 2025 Accepting new patients
Chloe Rose Smith, PLLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

130 Fisher Rd
Ste 12
Berlin, VT 05602
Phone (802) 225-5400

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1952139735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 SCRABBLE HL",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056769359",
            "telephone_number": "603-831-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 SCRABBLE HL",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056769359",
            "telephone_number": "603-831-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHLOE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, VT

Sources for this page

Verify at the official NPI Registry.