Organization
JUDEVINE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FOSSIANO LICSW (OWNER)
(802) 760-7716
Entity
Organization
Contact information
Practice address
150 DORSET ST STE 245-169, SOUTH BURLINGTON, VT 05403-6256
(802) 760-7716
Mailing address
150 DORSET ST STE 245-169, SOUTH BURLINGTON, VT 05403-6256
(802) 760-7716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up