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

John Surprenant, LICSW

Individual provider Clinical Social Worker · NPI 1609615319

John Surprenant, LICSW is a Clinical Social Worker in Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2024.

Licensed in
VT
In the registry since
2024
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1138 Pine St
Burlington, VT 05401-5353
Phone: (802) 488-6000
Fax: (802) 488-6919
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0135564 (VT)

Record details

NPI number1609615319
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing address208 Flynn Ave Ste 3j, Burlington, VT 05401-5420

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