Individual provider Active NPI

Sandra Nigolian, MSW, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1992557722
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0135803 Issued in VT
Practice address
431 Pine St # G13
Burlington, VT 05401-4726
Phone
(802) 338-5122
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 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 089.0135803 VT Primary

Addresses

Primary practice location

431 Pine St # G13
Burlington, VT 05401-4726

Mailing address

247 Van Patten Pkwy
Burlington, VT 05408-1135
Phone (802) 338-5122

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
I20240529003019 VT Practitioner - Clinical Social Worker 2668814120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

431 Pine St
G13
Burlington, VT 05401-4726
Phone (802) 338-5122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0135803VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandra Nigolian MSW Psychotherapy LLC CurrentSince Apr 15, 2024 Accepting new patients

Locations

431 Pine St
#G13
Burlington, VT 05401
Phone (802) 338-5122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1992557722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 VAN PATTEN PKWY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054081135",
            "telephone_number": "802-338-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 PINE ST # G13",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014726",
            "telephone_number": "802-338-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGOLIAN",
        "first_name": "SANDRA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.