Healthcare Provider Details

I. General information

NPI: 1962372029
Provider Name (Legal Business Name): ERICA SACCO MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

267 FOUR SISTERS RD
SOUTH BURLINGTON VT
05403-8125
US

IV. Provider business mailing address

267 FOUR SISTERS RD
SOUTH BURLINGTON VT
05403-8125
US

V. Phone/Fax

Practice location:
  • Phone: 617-455-9373
  • Fax:
Mailing address:
  • Phone: 617-455-9373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number097.0136013
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: