Provider Demographics
NPI:1720288038
Name:HONIGSFELD, HOWARD (MSW)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:HONIGSFELD
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 1:3731 NORTH ROAD
Mailing Address - Street 2:
Mailing Address - City:SUNDERLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05250
Mailing Address - Country:US
Mailing Address - Phone:516-491-0668
Mailing Address - Fax:
Practice Address - Street 1:3731 NORTH ROAD
Practice Address - Street 2:
Practice Address - City:SUNDERLAND
Practice Address - State:VT
Practice Address - Zip Code:05250
Practice Address - Country:US
Practice Address - Phone:516-491-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0509951041C0700X, 1041S0200X
VT089.01343191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT089.0134319OtherVERMONT LICENSE
VT6704743Medicaid