| David S Ganapol, LICSW | |
|
125 College St Ste 3, Burlington, VT 05401-8444 | |
| (802) 863-2495 | |
| (802) 865-0534 |
| Full Name | David S Ganapol |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 125 College St Ste 3, Burlington, Vermont |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750699351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 08900084088 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0084088 (Vermont) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Networks, Inc. | 2062502123 | 4 |
| Entity Name | Networks, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912046764 PECOS PAC ID: 2062502123 Enrollment ID: O20080117000324 |
| Mailing Address | Practice Location Address |
|---|---|
| David S Ganapol, LICSW Po Box 581, Burlington, VT 05402-0581 Ph: (802) 863-2495 | David S Ganapol, LICSW 125 College St Ste 3, Burlington, VT 05401-8444 Ph: (802) 863-2495 |
Shannon Kadish, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600 | |
Elyza Moore, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919 | |
Ellyn Leamon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-863-1326 | |
Allison Holley Capeless, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Lakeside Ave, Burlington, VT 05401 Phone: 312-519-5675 | |
Lauren Carpenter, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 | |
Adam Frowine, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919 | |
Elaine Soto, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 Flynn Ave, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919 |