Healthcare Provider Details

I. General information

NPI: 1962368068
Provider Name (Legal Business Name): ANDREW BRETTI MSW
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 COLLEGE ST
BURLINGTON VT
05401-8444
US

IV. Provider business mailing address

227 NASHVILLE RD
JERICHO VT
05465-9618
US

V. Phone/Fax

Practice location:
  • Phone: 802-448-0227
  • Fax:
Mailing address:
  • Phone: 802-448-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: