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

Kevin Nielsen, LICSW

Individual provider Clinical Social Worker · NPI 1457652802

Kevin Nielsen, LICSW is a Clinical Social Worker in South Burlington, Vermont. Qualified in 2007, 19 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas and Vermont.

Years since qualifying
19
Licensed in
TX, VT
In the registry since
2010
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

64 Orchard Rd
South Burlington, VT 05403-6132
Phone: (802) 793-6389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 Jentsch Ct # A, Austin, TX 78745-3192 — (802) 793-6389

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0063533 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 54764 (TX)

Record details

NPI number1457652802
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 16, 2010
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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