Mr Brian Patterson Southworth, LICSW | |
76 Glen Rd, Burlington, VT 05406-4009 | |
(802) 864-7467 | |
Not Available |
Full Name | Mr Brian Patterson Southworth |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 76 Glen Rd, Burlington, Vermont |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629584875 | NPI | - | NPPES |
0890000563 | Medicaid | VT | |
1041C0700X | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0890000563 (Vermont) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Patterson Southworth, LICSW 76 Glen Rd, Burlington, VT 05406-4009 Ph: (802) 864-7467 | Mr Brian Patterson Southworth, LICSW 76 Glen Rd, Burlington, VT 05406-4009 Ph: (802) 864-7467 |
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 |