| Matt Macaulay Licsw Llc | |
|
5 Bank St North Bennington VT 05257-9102 | |
| (802) 294-2983 | |
| Not Available |
| Full Name | Matt Macaulay Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5 Bank St, North Bennington, Vermont |
| Authorized Official Name and Position | Matt Macaulay Macaulay (OWNER) |
| Authorized Official Contact | 8022942983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Macaulay Licsw Llc 5 Bank St North Bennington VT 05257-9102 Ph: (802) 294-2983 | Matt Macaulay Licsw Llc 5 Bank St North Bennington VT 05257-9102 Ph: (802) 294-2983 |
| NPI Number | 1346955309 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 01/14/2023 |
| Certification Date | 01/14/2023 |
| Medicare PECOS PAC ID | 4082086475 |
|---|---|
| Medicare Enrollment ID | O20230213001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346955309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Erika Crowers Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Bank St, North Bennington, VT 05257 Phone: 802-379-4111 | |
Andrea J Alli Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Bank St, North Bennington, VT 05257 Phone: 802-392-9979 | |
Sara Diane Nolan, Licsw, Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Bank Street, North Bennington, VT 05257 Phone: 802-442-2000 Fax: 866-830-0802 |