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NPI Code Detail

MEDICARE: HOPE WORKS INC.

MEDICARE: HOPE WORKS INC.
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1154858553
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE WORKS INC.
Provider Business Mailing Address
First Line : PO BOX 92
Second Line :
City : BURLINGTON
State : VT
Zip : 05402-0092
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 336 NORTH AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-2918
Country : US
Telephone Number : 802-864-0555
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : KRISTINE REYNOLDS
Credential : LICSW
Telephone Number : 802-864-0555
Provider Enumeration Date : 05/16/2017
Last Update Date : 03/02/2018

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Directions to “HOPE WORKS INC. ” Practice Location

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