Ellen B Gluckman, MA | |
6971 Main St Ste 3, Waitsfield, VT 05673-6223 | |
(802) 595-5272 | |
Not Available |
Full Name | Ellen B Gluckman |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6971 Main St Ste 3, Waitsfield, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427496066 | NPI | - | NPPES |
1427496066 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000607 (Vermont) | Secondary |
101YM0800X | Counselor - Mental Health | 068.0053633 (Vermont) | Primary |
Entity Name | Sweetser |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339 |
Mailing Address | Practice Location Address |
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Ellen B Gluckman, MA 1444 Airport Rd, Moretown, VT 05660-9225 Ph: (802) 595-5272 | Ellen B Gluckman, MA 6971 Main St Ste 3, Waitsfield, VT 05673-6223 Ph: (802) 595-5272 |
Elizabeth Iliff Kendrick, LCMHC, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4061 Main St., Waitsfield, VT 05673 Phone: 802-595-3788 | |
Victoria Trihy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Bridge St Unit 4, Waitsfield, VT 05673 Phone: 720-357-9318 | |
Ms. Samantha Silverberg, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 E Warren Rd, Waitsfield, VT 05673 Phone: 516-779-9339 | |
Evan Matthew Oppenheimer, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5354 Main St, Waitsfield, VT 05673 Phone: 802-583-1144 |