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Contact Information

DRIFT E MAVYN, MSW, LICSW
74 GRAFTON RD.
TOWNSHEND, VT05353
 Phone: 802-321-5066
 Fax: 802-210-3972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DRIFT E MAVYN · (Female)

NPI # 1316683758
Status Active
Credentials MSW, LICSW
Entity Individual
Enumeration date 05/09/2022
Last updated 10/03/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 089.0134630
  • VT Medicaid 6712069
  • VT Other 5212947 BCBS VERMONT
  • VT Other MVP0551 MVP INSURANCE
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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