Healthcare Provider Details

I. General information

NPI: 1699903260
Provider Name (Legal Business Name): NEIGHBORHOOD CONNECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 VT ROUTE 100 MOUNTAIN MARKETPLACE, STE. A6
LONDONDERRY VT
05148-9400
US

IV. Provider business mailing address

PO BOX 207
LONDONDERRY VT
05148-0207
US

V. Phone/Fax

Practice location:
  • Phone: 802-824-4343
  • Fax:
Mailing address:
  • Phone: 802-824-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NICOLE WENGERD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 802-824-4343