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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAURA NYDEGGER, LICSW, MSW

Active Sole Proprietor

MAURA NYDEGGER, LICSW, MSW is a Clinical Social Worker healthcare provider located in SHOREHAM, Vermont. NPI 1477023372 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SHOREHAM, VT

Registration Details

NPI Number
1477023372
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2018 (7.6709584280629 yrs)
Last Updated
Dec 6, 2021
License
089.0095256 (VT)
Sole Proprietor
Yes

Practice Information

Address
199 MAIN ST UNIT C
SHOREHAM, VT, 057708807
Browse VT providers · Browse ZIP 05770
Phone
8023498579
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.