Paule Bezaire Dussault, LICSW | |
174 Hospital Loop, Berlin, VT 05602-9105 | |
(802) 479-4083 | |
(802) 476-1476 |
Full Name | Paule Bezaire Dussault |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 174 Hospital Loop, Berlin, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972209856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 089.0135099 (Vermont) | Primary |
Entity Name | Washington County Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922026996 PECOS PAC ID: 8123010121 Enrollment ID: O20040519000738 |
Mailing Address | Practice Location Address |
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Paule Bezaire Dussault, LICSW Po Box 647, Montpelier, VT 05601-0647 Ph: (802) 229-1399 | Paule Bezaire Dussault, LICSW 174 Hospital Loop, Berlin, VT 05602-9105 Ph: (802) 479-4083 |
Mary S Thompson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476 | |
Ellia Cohen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476 | |
Elisabeth A Kaldor, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 | |
Christine E Parker, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667 | |
Juliet Davis, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 641 Comstock Rd Ste 1, Berlin, VT 05602 Phone: 802-223-4744 Fax: 802-229-0848 | |
Leslie Diane Weed Fonner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476 | |
Elizabeth Badillo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 641 Comstock Rd, Berlin, VT 05602 Phone: 802-223-4744 Fax: 802-229-0848 |