Danielle Jatlow, LICSW,LADC is a medicare enrolled "Social Worker - Clinical" provider in South Burlington, Vermont. Her current practice location is
1025 Airport Dr, South Burlington, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 488-7711.
Danielle Jatlow is licensed to practice in Vermont (license number 089-0066071) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730428061.
Healthcare Provider's Profile
Full Name | Danielle Jatlow |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 1025 Airport Dr, South Burlington, Vermont |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730428061
- Provider Enumeration Date: 02/06/2013
- Last Update Date: 08/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 5092950824
- Enrollment ID: I20130328000119
Medical Identifiers
Medical identifiers for Danielle Jatlow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730428061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151-0126413 (Vermont) | Secondary |
1041C0700X | Social Worker - Clinical | 089-0066071 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Danielle Jatlow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Danielle Jatlow, LICSW,LADC 208 Flynn Ave, Suite 3j, Burlington, VT 05401-5429 Ph: () - | Danielle Jatlow, LICSW,LADC 1025 Airport Dr, South Burlington, VT 05403-6013 Ph: (802) 488-7711 |
Reviews and Comments