Provider Demographics
NPI:1689774192
Name:GUERTIN, DANIEL GEORGE (MSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:GEORGE
Last Name:GUERTIN
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 DICKERMAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:VT
Mailing Address - Zip Code:05038-9142
Mailing Address - Country:US
Mailing Address - Phone:802-295-2908
Mailing Address - Fax:
Practice Address - Street 1:100 STATE ST STE 243
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3099
Practice Address - Country:US
Practice Address - Phone:802-249-3481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00007411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical