Mrs Greeta Mae Soderholm, LICSW, LADC | |
76 Glen Rd, Burlington, VT 05401-4131 | |
(802) 864-7467 | |
(802) 864-1619 |
Full Name | Mrs Greeta Mae Soderholm |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 76 Glen Rd, Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609381094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Vermont) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0125896 (Vermont) | Primary |
Entity Name | University Of Vermont Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047 |
Mailing Address | Practice Location Address |
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Mrs Greeta Mae Soderholm, LICSW, LADC 76 Glen Rd, Burlington, VT 05401-4131 Ph: (802) 864-7467 | Mrs Greeta Mae Soderholm, LICSW, LADC 76 Glen Rd, Burlington, VT 05401-4131 Ph: (802) 864-7467 |
Christine Rose Germano, MS, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 802-870-6858 | |
Rebecca Mckay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Lake St, Burlington, VT 05401 Phone: 802-328-9827 | |
Katherine Santa Maria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Elmwood Ave, Burlington, VT 05401 Phone: 802-864-7423 | |
Sarah L. Gerdeman, LCSW-R, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 | |
Kendra Marceau, M.S., NCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 86 Lake St, Burlington, VT 05401 Phone: 802-865-3450 Fax: 802-860-5011 | |
Eric Hughes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Elmwood Ave, Burlington, VT 05401 Phone: 978-987-0305 | |
Jill Everett, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600 |