| Mcclintock Mental Health Plc | |
|
152 Catkin Dr South Burlington VT 05403-3002 | |
| (802) 557-2371 | |
| Not Available |
| Full Name | Mcclintock Mental Health Plc |
|---|---|
| Speciality | Social Worker |
| Location | 152 Catkin Dr, South Burlington, Vermont |
| Authorized Official Name and Position | Matthew Mcclintock (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8025572371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcclintock Mental Health Plc Po Box 356 Colchester VT 05446-0356 Ph: (802) 557-2371 | Mcclintock Mental Health Plc 152 Catkin Dr South Burlington VT 05403-3002 Ph: (802) 557-2371 |
| NPI Number | 1316652746 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 0244688224 |
|---|---|
| Medicare Enrollment ID | O20231201000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316652746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Matthew Mcclintock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528718269 PECOS PAC ID: 1153717889 Enrollment ID: I20220406001442 |
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