| Lisa C Erwin Licsw Plc | |
|
316 Main St Suite 206 Newport VT 05855-5530 | |
| (802) 673-1029 | |
| Not Available |
| Full Name | Lisa C Erwin Licsw Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 316 Main St, Newport, Vermont |
| Authorized Official Name and Position | Lisa Chretien Erwin (OWNER) |
| Authorized Official Contact | 8028733542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C Erwin Licsw Plc Po Box 1177 Derby Line VT 05830-1177 Ph: (802) 873-3542 | Lisa C Erwin Licsw Plc 316 Main St Suite 206 Newport VT 05855-5530 Ph: (802) 673-1029 |
| NPI Number | 1992245849 |
|---|---|
| Provider Enumeration Date | 02/26/2017 |
| Last Update Date | 02/26/2017 |
| Medicare PECOS PAC ID | 3375811284 |
|---|---|
| Medicare Enrollment ID | O20170619001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992245849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 089.0110618 (Vermont) | Primary |
| Provider Name | Lisa Chretien Erwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669911228 PECOS PAC ID: 4284902198 Enrollment ID: I20170710002714 |
Enlightened Path Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Taylor St Ste 1, Newport, VT 05855 Phone: 802-673-9600 | |
Northeast Kingdom Human Services Inc Mh Adult Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 | |
Northeast Kingdom Human Services Inc Mh Children Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 | |
Northeast Kingdom Human Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 181 Crawford Rd, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7455 | |
New Insights Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 29 Colfax St, Newport, VT 05855 Phone: 802-272-6648 | |
Northern Compass Counseling Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 578 E Main St, Newport, VT 05855 Phone: 802-487-4347 | |
Northeast Kingdom Human Services Inc Mh Waiver Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Duchess St, Newport, VT 05855 Phone: 802-334-6744 Fax: 802-334-7340 |