Provider Demographics
NPI:1346506243
Name:REMINGTON, KAITLIN R (LICSW)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:R
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:KAITLIN
Other - Middle Name:R
Other - Last Name:REMINGTON VAN HOESEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:100 LEDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-5200
Mailing Address - Country:US
Mailing Address - Phone:802-442-5491
Mailing Address - Fax:
Practice Address - Street 1:100 LEDGEHILL RD
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-5200
Practice Address - Country:US
Practice Address - Phone:802-442-5491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089.00803481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical