| Jennifer Calder, Llc | |
|
2235 North St Montpelier VT 05602-9428 | |
| (802) 522-6566 | |
| Not Available |
| Full Name | Jennifer Calder, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2235 North St, Montpelier, Vermont |
| Authorized Official Name and Position | Jennifer Calder (OWNER) |
| Authorized Official Contact | 8025226566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Calder, Llc 2235 North St Montpelier VT 05602-9428 Ph: () - | Jennifer Calder, Llc 2235 North St Montpelier VT 05602-9428 Ph: (802) 522-6566 |
| NPI Number | 1336741339 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Certification Date | 11/13/2020 |
| Medicare PECOS PAC ID | 5294140646 |
|---|---|
| Medicare Enrollment ID | O20210216002763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336741339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Calder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134278732 PECOS PAC ID: 4082931654 Enrollment ID: I20150318001944 |
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