Christie Everett, LICSW | |
11 N Main St, Randolph, VT 05060-1126 | |
(802) 728-4466 | |
(802) 728-4197 |
Full Name | Christie Everett |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 11 N Main St, Randolph, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568703536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 089.0069446 (Vermont) | Primary |
Entity Name | Clara Martin Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386710861 PECOS PAC ID: 1951395367 Enrollment ID: O20060315000608 |
Mailing Address | Practice Location Address |
---|---|
Christie Everett, LICSW Po Box G, Randolph, VT 05060-0167 Ph: (802) 728-4466 | Christie Everett, LICSW 11 N Main St, Randolph, VT 05060-1126 Ph: (802) 728-4466 |
Nancy Copeland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Shana Kotelchuck, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
James Tautfest, RN Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2613 | |
Alida Shriber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Margaret Hammond, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Mrs. Nathalie C Sugarman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4926 | |
Joshua B Amses, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |