| Heidi Conley, MSW LICSW | |
|
390 River Street, Springfield, VT 05156-2226 | |
| (802) 886-4500 | |
| (802) 886-4560 |
| Full Name | Heidi Conley |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 390 River Street, Springfield, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295194470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2604 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0107411 (Vermont) | Primary |
| Entity Name | Health Care And Rehabilitation Services Of Southeastern Vermont Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790861342 PECOS PAC ID: 4183698830 Enrollment ID: O20040819001433 |
| Entity Name | Springfield Medical Care Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730336843 PECOS PAC ID: 9133157043 Enrollment ID: O20090622000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi Conley, MSW LICSW 390 River Street, Springfield, VT 05156-2226 Ph: (802) 886-4500 | Heidi Conley, MSW LICSW 390 River Street, Springfield, VT 05156-2226 Ph: (802) 886-4500 |
Virginia Alden Gold, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 River St, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4520 | |
Dana M Deschamp, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 390 River St, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4520 | |
Jennifer M. Chambers, MSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 390 River St, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4560 | |
Mrs. Rosemary Ann Decamp, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 South St, Springfield, VT 05156 Phone: 802-885-7915 | |
Dana L Petersen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 River St, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4520 | |
Heidi O'brien, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 390 River St, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4560 |