Dana L Petersen, LICSW in Springfield, VT - Social Worker

Dana L Petersen, LICSW is a Social Worker - Clinical based in Springfield, Vermont. Dana L Petersen is licensed to practice in Vermont (license number 089.0120793) and her current practice location is 390 River St, Springfield, Vermont. She can be reached at her office (for appointments etc.) via phone at (802) 886-4500.

NPI number for Dana L Petersen is 1376051896 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 1376051896.

Contact Information

	Dana L Petersen, LICSW
	390 River St, Springfield, VT 05156-2226
	(802) 886-4500
	(802) 886-4520

Healthcare Provider's Profile

Full Name	Dana L Petersen
Gender	Female
Speciality	Social Worker - Clinical
Location	390 River St, Springfield, Vermont
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1376051896
Provider Enumeration Date: 01/18/2018
Last Update Date: 01/18/2018

Medical Identifiers

Medical identifiers for Dana L Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376051896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089.0120793 (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. Dana L Petersen 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
Dana L Petersen, LICSW 390 River St, Springfield, VT 05156-2226 Ph: (802) 886-4500	Dana L Petersen, LICSW 390 River St, Springfield, VT 05156-2226 Ph: (802) 886-4500

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Social Worker in Springfield, VT

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
Mr. Thomas Kauffmann, LICSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 390 River Street, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4520
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
Heidi Conley, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 390 River Street, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4560
Gina M Watson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 390 River Street, Springfield, VT 05156 Phone: 802-886-4500 Fax: 802-886-4520

Dana L Petersen, LICSW - Clinical Social Worker in Springfield, VT