1770785446 NPI number — BARBARA L LANEY LCSW

Table of content: BARBARA L LANEY LCSW (NPI 1770785446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770785446 NPI number — BARBARA L LANEY LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANEY
Provider First Name:
BARBARA
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SWENSON
Provider Other First Name:
BARBARA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1770785446
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
49 SCHOOL STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARTFORD
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05047
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-295-1705
Provider Business Mailing Address Fax Number:
802-295-0820

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 HOSPITAL CT
Provider Second Line Business Practice Location Address:
STE. 410
Provider Business Practice Location Address City Name:
BELLOWS FALLS
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05101-1489
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-463-3947
Provider Business Practice Location Address Fax Number:
802-463-1206
Provider Enumeration Date:
06/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  0890001051 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 079504 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1011072 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 68363 . This is a "BLUE CROSS" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".




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