Birch Grove Therapy | |
56 W Twin Oaks Ter Ste 3 South Burlington VT 05403-7138 | |
(802) 393-8167 | |
Not Available |
Full Name | Birch Grove Therapy |
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Speciality | Social Worker |
Location | 56 W Twin Oaks Ter Ste 3, South Burlington, Vermont |
Authorized Official Name and Position | Callia Zimmerman (OWNER) |
Authorized Official Contact | 8023938167 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Birch Grove Therapy Po Box 8114 Essex VT 05451-8114 Ph: (802) 393-8167 | Birch Grove Therapy 56 W Twin Oaks Ter Ste 3 South Burlington VT 05403-7138 Ph: (802) 393-8167 |
NPI Number | 1285285650 |
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Provider Enumeration Date | 09/26/2019 |
Last Update Date | 09/27/2023 |
Certification Date | 09/27/2023 |
Medicare PECOS PAC ID | 2163857368 |
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Medicare Enrollment ID | O20200116001116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285285650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Callia E Zimmerman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821331463 PECOS PAC ID: 2961641436 Enrollment ID: I20130612000541 |
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