Jin Li Chan, LICSW | |
714 Breezy Hill Rd, St Johnsbury, VT 05819-8882 | |
(802) 748-7500 | |
(802) 745-1188 |
Full Name | Jin Li Chan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 714 Breezy Hill Rd, St Johnsbury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023551710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 089.0092264 (Vermont) | Primary |
Entity Name | Northeastern Vermont Regional Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659459428 PECOS PAC ID: 3678481405 Enrollment ID: O20080208000261 |
Entity Name | Valera Medical Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871248757 PECOS PAC ID: 6406238310 Enrollment ID: O20220809000354 |
Mailing Address | Practice Location Address |
---|---|
Jin Li Chan, LICSW 1315 Hospital Dr, St Johnsbury, VT 05819-9210 Ph: (802) 748-8141 | Jin Li Chan, LICSW 714 Breezy Hill Rd, St Johnsbury, VT 05819-8882 Ph: (802) 748-7500 |
Katherine A. Harris, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-7300 Fax: 802-748-7321 | |
David J Truslow, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1129 Main Street, St Johnsbury, VT 05819 Phone: 802-748-1331 Fax: 802-748-9036 | |
Mrs. Melissa Ann Edwards, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1006 Memorial Dr, St Johnsbury, VT 05819 Phone: 603-236-2585 Fax: 802-424-1330 | |
Simone Cote, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Eastern Ave Ste 5, St Johnsbury, VT 05819 Phone: 603-491-3635 | |
Robert Michael Norris, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 161 Sherman Dr, St Johnsbury, VT 05819 Phone: 802-748-8116 | |
Gerard C Colpitts, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Eastern Ave, Octagon Bldg Suite C, St Johnsbury, VT 05819 Phone: 603-496-9375 |