Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JUDEVINE PSYCHOTHERAPY
NPI 1316864457
Social Worker - Clinical in South Burlington, VT

Active since June 30, 2026
150 DORSET ST STE 245-169, SOUTH BURLINGTON, VT 05403(802) 760-7716 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Judevine Psychotherapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDEVINE PSYCHOTHERAPY (NPI 1316864457) is a healthcare organization registered as a clinical in South Burlington, Vermont and active in the NPI registry since June 2026. The organization lists Nicole Fossiano, Owner, as its authorized official.

NPPES Registry Identity

NPI1316864457
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJUDEVINE PSYCHOTHERAPY
Location Address150 DORSET ST STE 245-169South Burlington, VT 05403-6256
Mailing Address150 Dorset St Ste 245-169South Burlington, VT 05403-6256 · (802) 760-7716
Organization SubpartNo
Authorized OfficialNicole FossianoOwner · (802) 760-7716
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1316864457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

150 DORSET ST STE 245-169, South Burlington, VT 05403

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judevine Psychotherapy's NPI number?

The NPI number for Judevine Psychotherapy is 1316864457. It was assigned to this organization in the NPPES registry on June 30, 2026.

Where is Judevine Psychotherapy located?

Judevine Psychotherapy is located at 150 Dorset St Ste 245-169, South Burlington, VT 05403. The listed phone number is (802) 760-7716.

What is Judevine Psychotherapy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Judevine Psychotherapy was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.