Heather Axman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Dover, Vermont. Her current practice location is
5 Mountain Park Plaza, West Dover, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 464-8105.
Heather Axman is licensed to practice in Vermont (license number 089.0082832) 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 1386879674.
Healthcare Provider's Profile
| Full Name | Heather Axman |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5 Mountain Park Plaza, West Dover, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386879674
- Provider Enumeration Date: 05/15/2009
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779618897
- Enrollment ID: I20120711000501
Medical Identifiers
Medical identifiers for Heather Axman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386879674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000622 (Vermont) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000196 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW9437 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0082832 (Vermont) | Primary |
| 1041C0700X | Social Worker - Clinical | 079468 (New York) | Secondary |
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. Heather Axman 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 |
|---|
Heather Axman, LCSW
Po Box 51,
Wilmington, VT 05363-0051
Ph: (954) 554-2368 | Heather Axman, LCSW
5 Mountain Park Plaza,
West Dover, VT 05356-9999
Ph: (802) 464-8105 |
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