Jennifer C Fellows, LICSW | |
1795 Williston Rd Ste 330, South Burlington, VT 05403-6487 | |
(802) 233-7420 | |
Not Available |
Full Name | Jennifer C Fellows |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1795 Williston Rd Ste 330, South Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225201536 | NPI | - | NPPES |
1015570 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 089-0001142 (Vermont) | Primary |
Entity Name | Jennifer Fellows Licsw Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467130328 PECOS PAC ID: 0446613145 Enrollment ID: O20230829001105 |
Mailing Address | Practice Location Address |
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Jennifer C Fellows, LICSW 291 Pillsbury Ln, Williston, VT 05495-8728 Ph: (802) 233-7420 | Jennifer C Fellows, LICSW 1795 Williston Rd Ste 330, South Burlington, VT 05403-6487 Ph: (802) 233-7420 |
Joyce Hagan, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Timber Ln, South Burlington, VT 05403 Phone: 802-658-0886 | |
Corrin O Drosin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Harbor Ridge Rd, South Burlington, VT 05403 Phone: 802-363-9102 | |
Erica Raff, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1233 Shelburne Rd, South Burlington, VT 05403 Phone: 802-859-1577 Fax: 802-859-1571 | |
Kara Deleonardis Kraus, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1233 Shelburne Rd, East O' Lake Building, Suite 120, South Burlington, VT 05403 Phone: 802-999-7042 | |
Mr. David Huesman, LICSW LADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 34 Patchen Rd, South Burlington, VT 05403 Phone: 802-658-4208 Fax: 802-658-2234 | |
Mr. Peter Anthony Cudney, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Airport Rd, South Burlington, VT 05403 Phone: 802-658-2441 Fax: 802-864-3857 | |
Katelyn Michelle Dearth, LICSW, AAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 Phone: 802-859-1577 Fax: 802-859-1571 |