Individual
NANCY BANFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
(802) 442-4910
Mailing address
PO BOX 588, BENNINGTON, VT 05201-0588
(802) 442-5491
(802) 442-4910
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
089-0000494
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
089-0000494
VT
103T00000X
Psychologist
089-0000494
VT
104100000X
Social Worker
Primary
089-0000494
VT
1041C0700X
Clinical Social Worker
089-0000494
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007300
—
VT
01
—
1042032
CIGNA
—
01
—
29940
BLUE CROSS
—
Enumeration date
08/04/2006
Last updated
03/10/2008
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