Individual provider Active NPI

Natalie Jean Perrault, LCSW

  • Clinical Social Worker
  • Newport, VT
National Provider Identifier
1972336949
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0136078 Issued in VT
Practice address
1734 Crawford Farm Rd Ste 2
Newport, VT 05855-4509
Phone
(802) 829-3031
NPI assigned
Aug 23, 2024
Last updated
Aug 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 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 089.0136078 VT Primary

Addresses

Primary practice location

1734 Crawford Farm Rd Ste 2
Newport, VT 05855-4509

Mailing address

1734 Crawford Farm Rd Ste 2
Newport, VT 05855-4509
Phone (802) 829-3031

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
I20240909001415 VT Practitioner - Clinical Social Worker 1052851706 Practice locations: Newport, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

139 Orchard St
Newport, VT 05855-4997

1734 Crawford Rd
Suite 2
Newport, VT 05855-4509
Phone (802) 829-3031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Integrative Health & Nutrition PC PastSince Aug 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1972336949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 CRAWFORD FARM RD STE 2",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554509",
            "telephone_number": "802-829-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 CRAWFORD FARM RD STE 2",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058554509",
            "telephone_number": "802-829-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRAULT",
        "first_name": "NATALIE",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

Verify at the official NPI Registry.