KELLY ANN WICKER (NPI# 1023338936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023338936 |
| Entity Type | Individual |
| Full Name | KELLY ANN WICKER |
| Credential | LCMHC |
| Practice Address |
550 Rt. 30 Newfane VT 05345 |
| Mailing Address |
1513 Abbott Rd Windham VT 05359-9676 |
| Practice Telephone | 8023657001 |
| Mailing Telephone | 8023657001 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
068.0057705 | VT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740413772 | Kelly A Wicker | Social Worker | 29 Pauline St, North Dartmouth, MA 02747-3427 | 2009-08-25 |
| Street Address |
550 RT. 30 |
| City | NEWFANE |
| State | VT |
| Zip Code | 05345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841566296 | Elizabeth A Bianchi | Social Worker | 708 Route 30, Newfane, VT 05345 | 2012-03-30 |
| 1467670950 | Teri M Brooks | Psychologist | 36 Upper River Road, Newfane, VT 05345 | 2007-04-23 |
| 1477634434 | Charles Dwight Decker | Dentist | 36 Park Place, Brattleboro, VT 05345 | 2006-10-18 |
| 1760570113 | James Carew | Social Worker | 23 West Street, C/o Moore Free Library, Newfane, VT 05345 | 2006-10-11 |
| 1952338097 | Thomas Hersh | Psychologist | 83 Radway Hill Rd., Newfane, VT 05345 | 2006-06-26 |
| 1851924948 | Julia Stifler | Counselor | 708 Route 30, Newfane, VT 05345 | 2020-02-17 |
| 1356904817 | Kara Dibble | Social Worker | 708 Route 30, Newfane, VT 05345 | 2019-04-19 |
| 1700901568 | Susan Bandler Wagner | Social Worker | 23 West Street, Newfane, VT 05345 | 2007-03-20 |
| 1013319474 | Stephen Agin | Durable Medical Equipment & Medical Supplies | 961 Rt 20, Newfane, VT 05345-0124 | 2014-09-17 |
| 1710063896 | Ingrid Scholz Longo | Social Worker | 36 Back St, Newfane, VT 05345-9523 | 2006-10-31 |
| Find all providers in zip 05345 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614247 | Sarah Greenspan | Counselor | 1150 Shunpike Rd, Shrewsbury, VT 05738-9713 | 2020-09-22 |
| 1396359212 | Puja Senning | Counselor | 372 Pollander Rd, Waterbury, VT 05676-9428 | 2020-09-08 |
| 1629682174 | Maya Kunigis | Counselor | 334 Southridge Rd, Williston, VT 05495-5238 | 2020-09-02 |
| 1619588001 | Ashley Ann Stackowitz | Counselor | 1624 Lillieville Brook Rd, Bethel, VT 05032-9719 | 2020-08-11 |
| 1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
| 1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
| 1790302552 | Neil Herrick | Counselor | 97 Cedar Hill Ln Apt 12, Montpelier, VT 05602-3546 | 2020-06-28 |
| 1144847971 | Victoria Trihy | Counselor | 107 Bridge St Unit 4, Waitsfield, VT 05673-6219 | 2020-06-27 |
| 1669098737 | Ari Shapiro-miller | Counselor | 68 Finch Ct, South Burlington, VT 05403-7570 | 2020-06-24 |
| 1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.