Doctor Name: | NANCY C LOOMIS |
NPI Number: | 1083003099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 0890108438 |
Business Practice Address: | 181 Crawford Road Derby, VT - 058290000 |
Business Phone Number: | 8023346744 |
Business Fax Number: | 8023347340 |
Mailing Address: | Po Box 724, NEWPORT |
State: | VT |
Postal Code: | 058550724 |
Phone Number: | 8023346744 |
Fax Number: | 8023346744 |
NPI Enumeration Date: | 01/14/2015 |
NPI Last Update Date: | 01/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0890108438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |