Provider Demographics
NPI:1649874793
Name:TWIGGS, ROBERT B (MSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:B
Last Name:TWIGGS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:BO
Other - Middle Name:
Other - Last Name:TWIGGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW, LADC
Mailing Address - Street 1:509 BAY RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7758
Mailing Address - Country:US
Mailing Address - Phone:347-522-1595
Mailing Address - Fax:
Practice Address - Street 1:1233 SHELBURNE RD STE 208
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7733
Practice Address - Country:US
Practice Address - Phone:347-522-1595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-29
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.01344571041C0700X
VT151.0134192101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)