Active NPI
Amelia A. Gerlin, LICSW
- Clinical Social Worker
- Shelburne, VT
National Provider Identifier
1992814974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089-0001103
- Practice address
- 20 Farmstead Dr
Shelburne, VT 05482-6907 - Phone
- (802) 557-4841
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 089-0001103 | VT | Primary |
Addresses
Primary practice location
20 Farmstead Dr
Shelburne, VT 05482-6907
Mailing address
20 Farmstead Dr
Shelburne, VT 05482-6907
Phone (802) 985-9255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012613 | Medicaid | VT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061215000204 | VT | Practitioner - Clinical Social Worker | 6507865730 |
Receives reassigned benefits from 2 practitioners Practice locations: Shelburne, VT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
20 Farmstead Dr
Shelburne, VT 05482-6907
Phone (802) 557-4841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089-0001103 | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Mountain Eldercare | Clinical | Current | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1992814974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FARMSTEAD DR",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826907",
"telephone_number": "802-985-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 FARMSTEAD DR",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826907",
"telephone_number": "802-557-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERLIN",
"first_name": "AMELIA",
"middle_name": "A.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VT",
"license": "089-0001103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012613",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelburne, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.