Provider Demographics
NPI:1871828053
Name:WINSTON, KAREN (MSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:WINSTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 PAINTER RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05753-8927
Mailing Address - Country:US
Mailing Address - Phone:802-388-0236
Mailing Address - Fax:
Practice Address - Street 1:1041 PAINTER RD
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-8927
Practice Address - Country:US
Practice Address - Phone:802-388-0236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00544151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT72356675OtherDRIVER'S LICENSE