| Mr Peter Bert Henry, LCSW | |
|
87 Paine Mountain Dr, Northfield, VT 05663-5791 | |
| (802) 485-4161 | |
| Not Available |
| Full Name | Mr Peter Bert Henry |
|---|---|
| Gender | Male |
| Speciality | Social Worker |
| Location | 87 Paine Mountain Dr, Northfield, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528507076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3830 (Connecticut) | Secondary |
| 104100000X | Social Worker | 089.0134266 (Vermont) | Primary |
| Entity Name | Rutland Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467416206 PECOS PAC ID: 7214846377 Enrollment ID: O20040913000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter Bert Henry, LCSW 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000 | Mr Peter Bert Henry, LCSW 87 Paine Mountain Dr, Northfield, VT 05663-5791 Ph: (802) 485-4161 |
Katherine Reed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 272 Dickinson Dr, Northfield, VT 05663 Phone: 845-750-1643 | |
Katharine Giguere Morris, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 358 Bailey Rd, Northfield, VT 05663 Phone: 802-498-8384 | |
Kari Little, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 87 Paine Mountain Dr, Northfield, VT 05663 Phone: 802-485-6760 |