Kathryn Dezotell, BS MSW is a
Student In An Organized Health Care Education/training Program based in White River Junction, Vermont. Kathryn Dezotell is licensed to practice in Vermont (license number 097.0136578) and her current practice location is
132 S. Main Street, Suite 100, White River Junction, Vermont. She can be reached at her office (for appointments etc.) via phone at
(802) 281-7080.
NPI number for Kathryn Dezotell is 1164305355 and her current mailing address is 390 River St, Springfield, Vermont. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164305355.
Healthcare Provider's Profile
| Full Name | Kathryn Dezotell |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 132 S. Main Street, White River Junction, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164305355
- Provider Enumeration Date: 07/28/2025
- Last Update Date: 12/10/2025
Medical Identifiers
Medical identifiers for Kathryn Dezotell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164305355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 097.0136578 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Dezotell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kathryn Dezotell, BS MSW 390 River St, Springfield, VT 05156-2226 Ph: (802) 886-4500 | Kathryn Dezotell, BS MSW 132 S. Main Street, Suite 100, White River Junction, VT 05001 Ph: (802) 281-7080 |
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