Mr Stephen M Knisely, LICSW | |
160 Allen Street, Rutland Regional Medical Center, Rutland, VT 05701 | |
(802) 747-1857 | |
(802) 747-0129 |
Full Name | Mr Stephen M Knisely |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 160 Allen Street, Rutland, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881769107 | NPI | - | NPPES |
1012896 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0890001144 (Vermont) | Primary |
Entity Name | Rutland Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467416206 PECOS PAC ID: 7214846377 Enrollment ID: O20040913000212 |
Mailing Address | Practice Location Address |
---|---|
Mr Stephen M Knisely, LICSW 160 Allen Street, Rutland Regional Medical Center, Rutland, VT 05701 Ph: (802) 747-1857 | Mr Stephen M Knisely, LICSW 160 Allen Street, Rutland Regional Medical Center, Rutland, VT 05701 Ph: (802) 747-1857 |
Lorene Zeif, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 78 S Main St, Rutland, VT 05701 Phone: 802-779-4383 | |
Ms. Margaret Bernetta Hough, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Madison St, Rutland, VT 05701 Phone: 802-775-5060 | |
Shirley Markland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Court Sq, Rutland, VT 05701 Phone: 802-775-4388 Fax: 802-775-3307 | |
Brooke J Whalen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Stratton Rd, Rutland, VT 05701 Phone: 802-773-3386 Fax: 802-773-4578 | |
Ms. Bridget Leicester, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Mahoney Ave, Psychiatry & Psychotherapy Assocs, Rutland, VT 05701 Phone: 802-775-2581 Fax: 802-775-3395 | |
M. Katrine Hughes, LICSW/LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 92 Center St, Rutland, VT 05701 Phone: 802-770-8777 Fax: 877-501-7757 | |
Krystal J Brown, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 215 Stratton Rd, Rutland, VT 05701 Phone: 802-773-3386 |