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NPI Code Detail

MEDICARE: ALYSSA HEILBRUNN LICSW

MEDICARE:   ALYSSA  HEILBRUNN  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
1104100000XSocial Worker089.0136456VT
21041C0700XClinical Social Worker089.0136456VT

General Provider Information

NPI Number : 1215889480
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA HEILBRUNN LICSW
Provider Business Mailing Address
First Line : 1 S PROSPECT ST FL 3
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-3456
Country : US
Telephone Number : 802-847-6638
Fax Number : 802-847-7998
Provider Business Practice Location Address
First Line : 1 S PROSPECT ST FL 3
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-3456
Country : US
Telephone Number : 802-847-6638
Fax Number : 802-847-7998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/13/2026

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Directions to “ ALYSSA HEILBRUNN LICSW” Practice Location

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