| David Huesman Inc | |
|
34 Patchen Rd S Burlington VT 05403 | |
| (802) 658-4208 | |
| (802) 658-2234 |
| Full Name | David Huesman Inc |
|---|---|
| Speciality | Social Worker |
| Location | 34 Patchen Rd, S Burlington, Vermont |
| Authorized Official Name and Position | David J Huesman (PRESIDENT) |
| Authorized Official Contact | 8026584208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Huesman Inc Po Box 156 Hyde Park VT 05655-0156 Ph: (802) 888-3429 | David Huesman Inc 34 Patchen Rd S Burlington VT 05403 Ph: (802) 658-4208 |
| NPI Number | 1538235361 |
|---|---|
| Provider Enumeration Date | 11/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082779905 |
|---|---|
| Medicare Enrollment ID | O20090210000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538235361 | NPI | - | NPPES |
| 19077 | Other | VT | BLUE CROS BLUE SHIELD |
| OVN0958 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000118 (Vermont) | Primary |
| 1041C0700X | Social Worker - Clinical | 0890000376 (Vermont) | Primary |
| Provider Name | David J Huesman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073784849 PECOS PAC ID: 5991713950 Enrollment ID: I20060403000163 |
Roots And Branches, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Proctor Ave, S Burlington, VT 05403 Phone: 802-448-2175 |