Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Judevine Psychotherapy

Organization Clinical Social Worker · NPI 1316864457

Judevine Psychotherapy is a Clinical Social Worker in South Burlington, Vermont. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

150 Dorset St Ste 245-169
South Burlington, VT 05403-6256
Phone: (802) 760-7716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1316864457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Fossiano — Owner · (802) 760-7716
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address150 Dorset St Ste 245-169, South Burlington, VT 05403-6256

Other providers in South Burlington