Individual provider Active NPI

Nancy Pessia, LICSW

  • Social Worker
  • White River Junction, VT
National Provider Identifier
1962742155
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0890050094 Issued in VT
Practice address
60 Fieldstone Way
12D
White River Junction, VT 05001-4580
Phone
(802) 295-8505
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0890050094 VT Primary

Addresses

Primary practice location

60 Fieldstone Way
12D
White River Junction, VT 05001-4580

Mailing address

60 Fieldstone Way
12D
White River Junction, VT 05001-4580
Phone (802) 295-8505

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0890050094VTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1962742155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FIELDSTONE WAY",
            "address_2": "12D",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050014580",
            "telephone_number": "802-295-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FIELDSTONE WAY",
            "address_2": "12D",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050014580",
            "telephone_number": "802-295-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSIA",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VT",
            "license": "0890050094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.