| Mr Salvatore Joseph Provetto, LICSW | |
|
354 Mountain View Dr Ste 105, Colchester, VT 05446-5923 | |
| (802) 377-5137 | |
| Not Available |
| Full Name | Mr Salvatore Joseph Provetto |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 354 Mountain View Dr Ste 105, Colchester, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386931830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890071313 (Vermont) | Primary |
| Entity Name | Vermont Center For Responder Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174154991 PECOS PAC ID: 0143638379 Enrollment ID: O20210428000127 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Salvatore Joseph Provetto, LICSW 354 Mountain View Dr Ste 105, Colchester, VT 05446-5923 Ph: (802) 661-4376 | Mr Salvatore Joseph Provetto, LICSW 354 Mountain View Dr Ste 105, Colchester, VT 05446-5923 Ph: (802) 377-5137 |
Mr. Matthew John Emelett, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 789 Vermont National Guard Rd, Colchester, VT 05446 Phone: 802-338-3494 Fax: 802-338-3038 | |
Ms. Naomi P. Shapiro, MSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Ethan Allen Ave, Colchester, VT 05446 Phone: 802-654-7075 | |
Barbara Sue Kleinman, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 525 Hercules Drive, Suite 1a, Colchester, VT 05446 Phone: 802-264-5333 Fax: 802-264-5338 | |
Elizabeth Lyons, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216 Raymond Rd, Colchester, VT 05446 Phone: 802-503-5865 | |
Stephanie Borts, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 Fox Run, Colchester, VT 05446 Phone: 802-488-4092 | |
Carolyn Shamel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 Mercier Dr, Colchester, VT 05446 Phone: 802-777-8054 |