Dworkin, Jeffrey
Dworkin, Jeffrey is an sole proprietor health care provider with primary practice located at 24 Court St. , Montpelier VT 05602. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Dworkin, Jeffrey can be contacted via phone (802) 223-6733.Contact Information
Primary practice address
24 Court St.
Montpelier VT 05602
Phone: (802) 223-6733
Fax: (802) 223-6733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 695 | Vermont |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 695 | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 695 | Vermont |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 695 | Vermont |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 695 | Vermont |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 695 | Vermont |
Profile Details
| NPI number | 1104986637 |
|---|---|
| LBN Legal business name | Dworkin, Jeffrey |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104986637 | NPPES |
| Vermont | MEDICAID | 1007379 |
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