MR. BRIAN PATTERSON SOUTHWORTH LICSW
NPI 1629584875
Social Worker - Clinical in Burlington, VT

Active since December 26, 2017
76 GLEN RD, BURLINGTON, VT 05406(802) 864-7467 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Dec 26, 2017 (2 updates tracked since 2017).

About Mr. Brian Patterson Southworth Licsw NPPES

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

MR. BRIAN PATTERSON SOUTHWORTH LICSW (NPI 1629584875) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (0890000563) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1629584875
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRIAN PATTERSON SOUTHWORTHCredential: LICSW
Location Address76 GLEN RDBurlington, VT 05406-4009
Mailing Address76 Glen RdBurlington, VT 05406-4009 · (802) 864-7467
Sole ProprietorNo
Enumeration DateDecember 26, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1629584875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VT · 0890000563
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.
76 GLEN RD, Burlington, VT 05406

Other Identifiers 2

Medicaid1041C0700XVT
Medicaid0890000563VT

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 Brian Southworth's NPI number?

The NPI number for Brian Southworth is 1629584875. It was assigned to this individual provider in the NPPES registry on December 26, 2017.

Where is Brian Southworth located?

Brian Southworth practices at 76 Glen Rd, Burlington, VT 05406. The listed phone number is (802) 864-7467.

What is Brian Southworth'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 Brian Southworth was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.