David Robertson, LCSW | |
486 Maple Run Ln, Stowe, VT 05672-4012 | |
(207) 518-3202 | |
Not Available |
Full Name | David Robertson |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 486 Maple Run Ln, Stowe, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295137453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC14948 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | 1041C0700X (Vermont) | Primary |
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
Mailing Address | Practice Location Address |
---|---|
David Robertson, LCSW 486 Maple Run Ln, Stowe, VT 05672-4012 Ph: (207) 518-3202 | David Robertson, LCSW 486 Maple Run Ln, Stowe, VT 05672-4012 Ph: (207) 518-3202 |
Sean Ryan, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 56 Old Farm Rd, Stowe, VT 05672 Phone: 802-433-4134 | |
Holly D Ryan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Old Farm Rd, Stowe, VT 05672 Phone: 802-760-7497 | |
Luke Smith, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 515 Moscow Rd, Stowe, VT 05672 Phone: 802-696-8900 |