Water's Edge Psychotherapy and Wellness Center
NPI 1285055376ActiveOrganization· Social Worker, Clinical· Burlington, VT
Social Worker, Clinical in Burlington, Vermont, registered in NPPES in December 2013. The authorized official on file is Linda Wackerman, MSW, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285055376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2013 |
| Last updated in NPPES | Feb 25, 2022 |
| Certified by provider | Feb 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | VT |
| Counselor, Mental Health | 101YM0800X | — | VT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VT) |
|---|
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