MS. DEMARIS TISDALE (NPI# 1043339773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043339773 |
| Entity Type | Individual |
| Full Name | MS. DEMARIS TISDALE |
| Credential | M.S.W. |
| Practice Address |
69 Barre St Montpelier VT 05602-3504 |
| Mailing Address |
1125 Snipe Ireland Rd Richmond VT 05477-9691 |
| Practice Telephone | 8022292770 |
| Mailing Telephone | 8024343941 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
089-0000231 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0009816 | 05 |
| Street Address |
69 BARRE ST |
| City | MONTPELIER |
| State | VT |
| Zip Code | 05602-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1043713522 | Forest Path Counseling, Plc | Social Worker | 100 State St Ste 502, Montpelier, VT 05602-4800 | 2018-03-12 |
| 1487024105 | Eilis O'herlihy | Social Worker | 159 State St, Montpelier, VT 05602-3301 | 2015-10-07 |
| 1306180732 | Benjamin Newman | Social Worker | 133 Elm Street, Montpelier, VT 05602 | 2012-11-26 |
| 1245548379 | Kimberlee D. Johnson | Social Worker | 90 Main St Ste 305, Montpelier, VT 05602-3242 | 2010-09-23 |
| 1164609228 | Elizabeth Halloran | Social Worker | 98 Cedar Hill Ln, Montpelier, VT 05602-3663 | 2008-01-30 |
| 1225218985 | Linda Suter | Social Worker | 23 Summer St, Montpelier, VT 05602-2228 | 2007-11-11 |
| 1083808992 | Gretchen Holly Baumgardner X | Social Worker | 58 College St, #1, Montpelier, VT 05602-3115 | 2007-09-04 |
| 1639370414 | Heather Moz | Social Worker | 14 Terrace St, Montpelier, VT 05602-2157 | 2007-05-30 |
| 1629113931 | Ronda Lynn Stoll | Social Worker | 1001 Paine Turnpike N, Montpelier, VT 05602 | 2007-02-21 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 05602 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.