MEDICARE: ROBERT E NIELD MSW LCSW 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	0047871	CT
2	1041C0700X	Clinical Social Worker	089.0134347	VT

General Provider Information

NPI Number	:	1326143991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT E NIELD MSW LCSW LICSW

Provider Business Mailing Address
First Line	:	390 RIVER STREET
Second Line	:
City	:	SPRINGFIELD
State	:	VT
Zip	:	05156-2226
Country	:	US
Telephone Number	:	802-886-4500
Fax Number	:	802-886-4560

Provider Business Practice Location Address
First Line	:	51 FAIRVIEW STREET
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-6629
Country	:	US
Telephone Number	:	802-254-6028
Fax Number	:	802-254-7501

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	04/05/2021

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