| Kelly Renaud Tivnan, LICSW | |
|
1138 Pine St, Burlington, VT 05401-5353 | |
| (802) 488-6600 | |
| (802) 488-6601 |
| Full Name | Kelly Renaud Tivnan |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1138 Pine St, Burlington, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710024864 | NPI | - | NPPES |
| 8950385 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890071893 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Renaud Tivnan, LICSW 208 Flynn Ave, Suite 3j, Burlington, VT 05401-5429 Ph: (802) 488-6900 | Kelly Renaud Tivnan, LICSW 1138 Pine St, Burlington, VT 05401-5353 Ph: (802) 488-6600 |
Shannon Kadish, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600 | |
Elyza Moore, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919 | |
Ellyn Leamon, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-863-1326 | |
Lauren Carpenter, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 | |
Elaine Soto, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Flynn Ave, Burlington, VT 05401 Phone: 802-488-6300 | |
Jenifer D'aiello, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-5331 Fax: 802-847-7765 | |
Kathleen Browne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324 |