MEDICARE: MRS. SARA D NOLAN LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	089-0001007	VT
2	1041C0700X	Clinical Social Worker

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0012942	OTHER	VT	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	558538000	OTHER	VT	BLUE CROSS/BLUE SHIELD
4	4145436	OTHER	VT	MVP

General Provider Information

NPI Number	:	1194819847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA D NOLAN LICSW

Provider Business Mailing Address
First Line	:	PO BOX 778
Second Line	:
City	:	NORTH BENNINGTON
State	:	VT
Zip	:	05257-0778
Country	:	US
Telephone Number	:	802-442-2000
Fax Number	:	866-830-0802

Provider Business Practice Location Address
First Line	:	5 BANK STREET
Second Line	:
City	:	NORTH BENNINGTON
State	:	VT
Zip	:	05257-0778
Country	:	US
Telephone Number	:	802-442-2000
Fax Number	:	866-830-0802

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/24/2017

Similar Medicare Providers

1790757532 — MR. MARK ANTHONY SCHIFFNER PA-C
Practice Location Address:

90 RIVERSIDE DR
NORTH BENNINGTON, VT
05257-9666

Practice Phone: 802-442-9597
Practice Fax:

1740230614 — AVERY WOOD MD
Practice Location Address:

10 BANK STREET
NORTH BENNINGTON, VT
05257-0726

Practice Phone: 888-421-6801
Practice Fax: 888-421-6801

1205880150 — PROSPECT NURSING HOME, INC.
Practice Location Address:

20 PROSPECT ST
NORTH BENNINGTON, VT
05257-9544

Practice Phone: 802-447-7144
Practice Fax: 802-447-3044

1598790370 — MS. RUTH ANN MYERS LICSW
Practice Location Address:

940 WATER ST UNIT 9
NORTH BENNINGTON, VT
05257-9814

Practice Phone: 802-753-1571
Practice Fax: 802-442-1200

1265588396 — JANE SOBEL MSW
Practice Location Address:

84 MECHANIC ST
NORTH BENNINGTON, VT
05257-9546

Practice Phone: 802-447-0069
Practice Fax: 802-447-0069

1588834931 — AVERY WOOD MD LLC
Practice Location Address:

10 BANK STREET
NORTH BENNINGTON, VT
05257

Practice Phone: 888-421-6801
Practice Fax: 888-421-6801

Directions to “ MRS. SARA D NOLAN LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.