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Contact Information

DANIEL BASLOCK, MSW
190 EASTERN AVE
SAINT JOHNSBURY, VT05819-5606
 Phone: 802-535-9114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DANIEL BASLOCK · (Male)

NPI # 1013217546
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 11/01/2010
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 089.0090488
  • VT License # 151.0126712
  • VT Medicaid 1022005
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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