| Kevin J King, | |
|
14 Stebbins St, Saint Albans, VT 05478-2462 | |
| (802) 922-5919 | |
| Not Available |
| Full Name | Kevin J King |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 14 Stebbins St, Saint Albans, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013771260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890136275 (Vermont) | Primary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| Entity Name | Northwestern Counseling & Support Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063501476 PECOS PAC ID: 3678545159 Enrollment ID: O20040806000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J King, 18 Messenger St, Saint Albans, VT 05478-1546 Ph: (802) 922-5919 | Kevin J King, 14 Stebbins St, Saint Albans, VT 05478-2462 Ph: (802) 922-5919 |
Matthew Perret, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6554 Fax: 802-524-6562 | |
Kathleen M Costello, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Fairfield Hill Rd, Saint Albans, VT 05478 Phone: 802-524-1700 Fax: 802-524-1777 | |
Hans Wendlandt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-524-6554 | |
Mary Elizabeth Pickener, LICSW, LADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 64 Hathaway Inn Drive, Saint Albans, VT 05478 Phone: 802-309-0555 | |
Susan Nyland, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 596 Sheldon Rd, Saint Albans, VT 05478 Phone: 210-615-3483 Fax: 210-593-9863 | |
Erin Rae Armstrong, MSS, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Fisher Pond Rd, Saint Albans, VT 05478 Phone: 802-393-6437 |