MS. ALEXANDREA JOSEPHINE FORWARD (NPI# 1558612853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558612853 |
Entity Type | Individual |
Full Name | MS. ALEXANDREA JOSEPHINE FORWARD |
Credential | LICSW |
Practice Address |
86 Lake St Burlington VT 05401-5297 |
Mailing Address |
180 Ethan Allen Pkwy Burlington VT 05408-2523 |
Practice Telephone | 8028653450 |
Mailing Telephone | 9172085024 |
Enumeration Date | 2012-09-26 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | 089.0128888 | VT | Behavioral Health & Social Service Providers |
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
089.0128888 | VT | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
10470 Queens Blvd, Second Floor, Forest Hills, NY 113753638 | 7182756010 |
Street Address |
86 LAKE ST |
City | BURLINGTON |
State | VT |
Zip Code | 05401-5297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225025588 | Barbara Jean Benton | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2005-10-03 |
1356988828 | Jennifer Brennan, Aprn, Pllc | Nurse Practitioner | 86 Lake St, Burlington, VT 05401-5297 | 2019-12-04 |
1821515685 | Amy Siegel Licsw LLC | Social Worker | 86 Lake St, Burlington, VT 05401-5297 | 2017-08-23 |
1851848204 | Jessica Webster | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2016-09-01 |
1750751624 | Chanon Watters | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2015-10-04 |
1023414109 | Kendra Marceau | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2014-11-17 |
1831457407 | Veena Raju | Psychiatry & Neurology | 86 Lake St, Burlington, VT 05401-5297 | 2012-05-02 |
1871882282 | Francis Clinton Pasley | Psychiatry & Neurology | 86 Lake St, Burlington, VT 05401-5297 | 2011-04-06 |
1528365160 | Patrick B. Kinner | Counselor | 86 Lake St, Burlington, VT 05401-5297 | 2011-02-17 |
1841595915 | William Schubart | Social Worker | 86 Lake St, Burlington, VT 05401-5297 | 2011-01-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821626748 | John Henry Priester Jr. | Student in an Organized Health Care Education/Training Program | University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401 | 2020-03-27 |
1730649054 | Parisa Heidari | Student in an Organized Health Care Education/Training Program | Uvmmc 111 Colchester Avenue, Burlington, VT 05401 | 2019-03-22 |
1689141988 | No Diet Dietitian, LLC | Dietitian, Registered | 163 Bayberry Circle #204, Burlington, VT 05401 | 2018-10-25 |
1073097267 | Katherine Dwyer | Physical Therapist | 128 Lakeside Ave, Burlington, Vt, 05401, Burlington, VT 05401 | 2018-09-24 |
1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
1760987473 | Tyler Fanning | Psychiatry & Neurology | Uvmmv 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-26 |
1356845416 | Rachel Carlson | Student in an Organized Health Care Education/Training Program | Uvmmc, 111 Colchester Avenue, Burlington, VT 05401 | 2018-03-22 |
1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
1689172660 | Valerie Goldberg | Dietitian, Registered | 163 Bayberry Circle Apt 204, Burlington, VT 05401 | 2018-01-25 |
1548774235 | Emily R Day | Physical Therapist | 160 Flynn Avenue, Burlington, VT 05401 | 2017-11-17 |
Find all providers in zip 05401 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104443209 | Healing Dialogue LLC | Counselor | 156 Deer Run, Burlington, CT 06013-1828 | 2020-07-06 |
1154964054 | Rebecca Jeanette Paruszkiewicz | Counselor | 1531 N English Settlement Ave, Burlington, WI 53105-9725 | 2019-10-23 |
1003475716 | Laurie S Bowers | Counselor | 323 Thistle Downs Dr, Burlington, NC 27215-7037 | 2019-06-07 |
1922662147 | Rochelle R Graham | Counselor | 1 Latimer Way, Burlington, NJ 08016-0801 | 2019-04-23 |
1588169528 | Rachel Lucille Hopkins | Counselor | 350 Holly Hill Ln Ste B, Burlington, NC 27215-5691 | 2018-03-29 |
1104378975 | Forward Journey Pllc | Counselor | 205 E Davis St, Burlington, NC 27215-5987 | 2016-10-27 |
1932566643 | Matthew Jay Mcniven | Counselor | 3928 Road 9, Burlington, WY 82411-9731 | 2016-01-26 |
1942623467 | Roxana Brand | Counselor | 211 Tarpley St, Burlington, NC 27215-3774 | 2014-02-04 |
1215358296 | Brenda Walker | Counselor | 236 N Mebane St Ste 101, Burlington, NC 27217-3966 | 2013-12-18 |
1700195377 | Sammie F Burnette | Counselor | 1636 Robin Hood Dr, Burlington, NC 27217-8743 | 2010-09-30 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 05401 |
Please comment or provide details below to improve the information on MS. ALEXANDREA JOSEPHINE FORWARD.
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.