| Ellen Repstad, MSW | |
|
312 Rockydale Rd, Bristol, VT 05443-5247 | |
| (802) 782-2426 | |
| Not Available |
| Full Name | Ellen Repstad |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 312 Rockydale Rd, Bristol, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881225258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Magnolia Counseling Solutions Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013734342 PECOS PAC ID: 0446782296 Enrollment ID: O20241017001593 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Repstad, MSW 312 Rockydale Rd, Bristol, VT 05443-5247 Ph: (802) 782-2426 | Ellen Repstad, MSW 312 Rockydale Rd, Bristol, VT 05443-5247 Ph: (802) 782-2426 |
Paula Lupinetti-chadwick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2188 Upper Notch Rd, Bristol, VT 05443 Phone: 609-346-5953 | |
Molly Milliken, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2190 Hardscrabble Rd, Bristol, VT 05443 Phone: 207-669-2100 | |
Shawn R May, PA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 74 Munsill Ave, Suite 100, Bristol, VT 05443 Phone: 802-453-5028 Fax: 802-453-6105 | |
Mr. Charles A Biss, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 74 Munsill Ave Ste 100, Bristol, VT 05443 Phone: 802-453-5028 |