Amy Johnson, LICSW | |
1025 Airport Dr, South Burlington, VT 05403-6013 | |
(802) 488-6000 | |
(802) 488-6919 |
Full Name | Amy Johnson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1025 Airport Dr, South Burlington, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528753811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 089.0135011 (Vermont) | Primary |
Entity Name | Matrix Health Systems Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104872712 PECOS PAC ID: 1052219359 Enrollment ID: O20031230000156 |
Mailing Address | Practice Location Address |
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Amy Johnson, LICSW 208 Flynn Ave Ste 3j, Burlington, VT 05401-5420 Ph: (802) 488-6934 | Amy Johnson, LICSW 1025 Airport Dr, South Burlington, VT 05403-6013 Ph: (802) 488-6000 |
Joyce Hagan, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 35 Timber Ln, South Burlington, VT 05403 Phone: 802-658-0886 | |
Corrin O Drosin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Harbor Ridge Rd, South Burlington, VT 05403 Phone: 802-363-9102 | |
Erica Raff, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1233 Shelburne Rd, South Burlington, VT 05403 Phone: 802-859-1577 Fax: 802-859-1571 | |
Kara Deleonardis Kraus, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1233 Shelburne Rd, East O' Lake Building, Suite 120, South Burlington, VT 05403 Phone: 802-999-7042 | |
Mr. David Huesman, LICSW LADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 34 Patchen Rd, South Burlington, VT 05403 Phone: 802-658-4208 Fax: 802-658-2234 | |
Mr. Peter Anthony Cudney, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Airport Rd, South Burlington, VT 05403 Phone: 802-658-2441 Fax: 802-864-3857 | |
Katelyn Michelle Dearth, LICSW, AAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 Phone: 802-859-1577 Fax: 802-859-1571 |