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KELLY RENAUD TIVNAN LICSW
NPI 1710024864
Social Worker - Clinical in Burlington, VT

Active since January 30, 2007
1138 PINE ST, BURLINGTON, VT 05401(802) 488-6000(802) 488-6919 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Renaud Tivnan Licsw NPPES

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

KELLY RENAUD TIVNAN LICSW (NPI 1710024864) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (0890071893) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1710024864
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY RENAUD TIVNANCredential: LICSW
Location Address1138 PINE STBurlington, VT 05401-5353
Mailing Address102 S Winooski AveBurlington, VT 05401-7406 · (802) 488-6920 · Fax (802) 488-6919
Phone(802) 488-6000
Fax(802) 488-6919
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1710024864 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 · 0890071893
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.
1138 PINE ST, Burlington, VT 05401
Open in Google Maps ↗

Other Identifiers 1

Medicaid8950385VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA VETTER RAISANEN BCBA
Behavior Analyst
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
SHANNON KADISH LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6600
ELYZA MOORE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ELLYN LEAMON LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 863-1326
LORA GIGUERE
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ANDREA FINE
Student in an Organized Health Care Education/Training Program
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
ADAM FROWINE LICSW
Social Worker (Clinical)
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000
CHRISTOPHER SPODICK
Community Health Worker
1138 PINE ST
BURLINGTON, VT 05401
Chittenden County (802) 488-6000

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 Kelly Tivnan's NPI number?

The NPI number for Kelly Tivnan is 1710024864. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Kelly Tivnan located?

Kelly Tivnan practices at 1138 Pine St, Burlington, VT 05401. The listed phone number is (802) 488-6000.

What is Kelly Tivnan's specialty?

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

What insurance does Kelly Tivnan accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelly Tivnan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Tivnan was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.