NORTHERN FOREST PSYCHOTHERAPY (NPI# 1477114668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477114668 |
| Entity Type | Organization |
| Organization Name | NORTHERN FOREST PSYCHOTHERAPY |
| Practice Address |
346 Shelburne Rd Burlington VT 05401-4935 |
| Mailing Address |
414 Butternut Rd Williston VT 05495-7303 |
| Practice Telephone | 8285276380 |
| Mailing Telephone | 8285276380 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | SUSANNAH ZEVELOFF (OWNER) |
| Authorized Official Telephone | 8285276380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
346 SHELBURNE RD |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942638077 | Transition II | Case Manager/Care Coordinator | 346 Shelburne Rd, Burlington, VT 05401-4935 | 2013-10-29 |
| 1831579416 | Susannah Zeveloff | Social Worker | 346 Shelburne Rd, Burlington, VT 05401-4935 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
| 1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
| 1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
| 1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
| 1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
| 1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
| Find all providers in zip 05401 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376167528 | Diana Keenan | Social Worker | 125 Saint Paul St Ste 106, Burlington, VT 05401-8462 | 2020-06-03 |
| 1538798491 | Earthside Counseling, LLC | Social Worker | 337 College St Ste 201, Burlington, VT 05401-8344 | 2020-04-03 |
| 1659902393 | Otis Lamonte Roberson II | Social Worker | 2008 S Mebane St Apt E, Burlington, NC 27215-7614 | 2020-01-31 |
| 1053963512 | Cassie Oxendine Price | Social Worker | 1708 S Mebane St Ste 302, Burlington, NC 27215-6591 | 2019-07-15 |
| 1497219653 | Innovative Family Therapy & Play Therapy Center LLC | Social Worker | 409 N 4th St Ste 108, Burlington, IA 52601-5255 | 2019-01-22 |
| 1013485788 | Deborah Smulian-siegel | Social Worker | 26 Beacon St Apt 3e, Burlington, MA 01803-3804 | 2018-11-10 |
| 1821564394 | Aya Inoue | Social Worker | 41 Main St Ste 1, Burlington, VT 05401-8431 | 2018-10-22 |
| 1154806131 | Janelle Ann Linskey | Social Worker | 5 Ruping Dr, Burlington, MA 01803-1818 | 2018-09-26 |
| 1427530955 | Emily Staecker | Social Worker | 9 Brown Ave, Burlington, MA 01803-3910 | 2018-08-31 |
| 1558842500 | Vincent Dirienzo | Social Worker | 6 Wildwood Ln, Burlington, MA 01803-1424 | 2018-08-28 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on NORTHERN FOREST PSYCHOTHERAPY.
| 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.