MS. ALEXANDREA JOSEPHINE FORWARD


Address: 86 Lake St, Burlington, VT 05401-5297
Phone: 8028653450

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
10470 Queens Blvd, Second Floor, Forest Hills, NY 113753638 7182756010

Office Location

Street Address 86 LAKE ST
City BURLINGTON
State VT
Zip Code 05401-5297

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City BURLINGTON
Zip Code 05401

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Dataset Information

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.

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