Provider Demographics
NPI:1316192271
Name:STENGER, KATHERINE BURGIN-HOPE (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:BURGIN-HOPE
Last Name:STENGER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 WEST ST
Mailing Address - Street 2:
Mailing Address - City:BARTON
Mailing Address - State:VT
Mailing Address - Zip Code:05822-9641
Mailing Address - Country:US
Mailing Address - Phone:802-673-4240
Mailing Address - Fax:
Practice Address - Street 1:317 LAKE REGION RD
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:VT
Practice Address - Zip Code:05860-9446
Practice Address - Country:US
Practice Address - Phone:802-754-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-19
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT08900012811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical