# CRESCENT PSYCHOTHERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crescent Psychotherapy, LLC, Crescent Psychotherapy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245845130
- **Authorized official:** TRACEY S MADIGAN LCSW (OWNER)
- **Authorized official phone:** (207) 560-6033

## Contact information

- **Practice address:** 38 PARK PL, BRATTLEBORO, VT 05301-2827
- **Practice address phone:** (207) 560-6033
- **Mailing address:** PO BOX 1691, BRATTLEBORO, VT 05302-1691
- **Mailing address phone:** (207) 560-6033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2020
- **Last updated:** 09/25/2025
