| Dara Stimson, Licsw, Llc | |
|
20 Southdown Ct Essex Junction VT 05452-3053 | |
| (802) 233-7213 | |
| Not Available |
| Full Name | Dara Stimson, Licsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 20 Southdown Ct, Essex Junction, Vermont |
| Authorized Official Name and Position | Dara J Stimson (OWNER) |
| Authorized Official Contact | 8022337213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dara Stimson, Licsw, Llc Po Box 8142 Essex VT 05451-8142 Ph: (802) 233-7213 | Dara Stimson, Licsw, Llc 20 Southdown Ct Essex Junction VT 05452-3053 Ph: (802) 233-7213 |
| NPI Number | 1295565372 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 3173057981 |
|---|---|
| Medicare Enrollment ID | O20241114004276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295565372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dara Gerrish Stimson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932269438 PECOS PAC ID: 8123101763 Enrollment ID: I20080206000063 |
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