MR. BRIAN PATTERSON SOUTHWORTH (NPI# 1629584875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629584875 |
| Entity Type | Individual |
| Full Name | MR. BRIAN PATTERSON SOUTHWORTH |
| Credential | LICSW |
| Practice Address |
76 Glen Rd Burlington VT 05406-4009 |
| Practice Telephone | 8028647467 |
| Mailing Telephone | 8028647467 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0890000563 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0890000563 | 05 | |
| VT | 1041C0700X | 05 |
| Street Address |
76 GLEN RD |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05406-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851410401 | Lund Family Center | Residential Treatment Facility, Emotionally Disturbed Children | 76 Glen Rd, Burlington, VT 05401-4131 | 2007-03-28 |
| 1306468780 | Laura Biron Ivins | Social Worker | 76 Glen Rd, Burlington, VT 05401-4131 | 2020-05-08 |
| 1609497932 | Kelsey D Conroy | Social Worker | 76 Glen Rd, Burlington, VT 05401-4131 | 2020-04-28 |
| 1922633809 | Madeline Bacon | Social Worker | 76 Glen Rd, Burlington, VT 05401-4131 | 2020-03-11 |
| 1255822391 | The Lund Family Center | Community Based Residential Treatment Facility, Mental Illness | 76 Glen Rd, Burlington, VT 05401-4131 | 2018-05-24 |
| 1609381094 | Greeta Mae Soderholm | Counselor | 76 Glen Rd, Burlington, VT 05401-4131 | 2017-12-06 |
| 1689931396 | Amy S Woodruff | Counselor | 76 Glen Rd, Burlington, VT 05401-4131 | 2012-04-19 |
| 1770794323 | Lund Family Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 76 Glen Rd, Burlington, VT 05401-4131 | 2007-05-25 |
| 1972622256 | Lund Family Center Healthy Babies | Public Health or Welfare | 76 Glen Rd, Burlington, VT 05401-4131 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558467985 | Kira Krier | Social Worker | 346 Shelburne Road Suite 602, Burlington, VT 05406 | 2006-09-15 |
| 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 | 05406 |
Please comment or provide details below to improve the information on MR. BRIAN PATTERSON SOUTHWORTH.
| 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.