MADELINE BACON (NPI# 1922633809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922633809 |
| Entity Type | Individual |
| Full Name | MADELINE BACON |
| Practice Address |
76 Glen Rd Burlington VT 05401-4131 |
| Practice Telephone | 8028612594 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1560133892 | VT | Behavioral Health & Social Service Providers |
| Street Address |
76 GLEN RD |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05401-4131 |
| 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 |
| 1255822391 | The Lund Family Center | Community Based Residential Treatment Facility, Mental Illness | 76 Glen Rd, Burlington, VT 05401-4131 | 2018-05-24 |
| 1629584875 | Brian Patterson Southworth | Social Worker | 76 Glen Rd, Burlington, VT 05406-4009 | 2017-12-26 |
| 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 |
|---|---|---|---|---|
| 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 | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068082 | Tiffany Siefken | Social Worker | 823 N 6th St Ste 2, Burlington, IA 52601-4967 | 2020-06-18 |
| 1174157549 | Sara Elizabeth Schmeiser | Social Worker | 610 N 4th St # 110, Burlington, IA 52601-5055 | 2020-02-25 |
| 1699234799 | Nicole Duran | Social Worker | 4a Myrna St, Burlington, MA 01803-1221 | 2019-03-18 |
| 1003390360 | Brian Jukins | Social Worker | 67 S Bedford St Ste 400 West, Burlington, MA 01803-5108 | 2018-09-21 |
| 1619461662 | Scott Alexander Long | Social Worker | 816 W Route 130, Burlington, NJ 08016-1267 | 2018-06-21 |
| 1639692536 | Melanie Pierce | Social Worker | 60 Cathy Ln Ste 102, Burlington, NJ 08016-9727 | 2017-07-23 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1588112262 | Christie Marie Carrera | Social Worker | 45 Equestrian Dr, Burlington, NJ 08016-3061 | 2016-09-12 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1578917639 | Itumeleng Shadreck | Social Worker | 49 Sherry Dr, Burlington, NC 27215-7610 | 2016-04-14 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05401 |
Please comment or provide details below to improve the information on MADELINE BACON.
| 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.