| Shana Kotelchuck, LICSW | |
|
11 S Main St, Randolph, VT 05060-1330 | |
| (802) 728-4466 | |
| (802) 728-4197 |
| Full Name | Shana Kotelchuck |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11 S Main St, Randolph, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073648895 | NPI | - | NPPES |
| 1013367 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089-0001123 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shana Kotelchuck, LICSW 160 Shady Rill Rd, Middlesex, VT 05602-9370 Ph: (802) 223-2655 | Shana Kotelchuck, LICSW 11 S Main St, Randolph, VT 05060-1330 Ph: (802) 728-4466 |
Nancy Copeland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
James Tautfest, RN Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2613 | |
Alida Shriber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Margaret Hammond, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Mrs. Nathalie C Sugarman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4926 | |
Joshua B Amses, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |