MR. JEFFREY DWORKIN M.A. NPI 1104986637

NPI Information

  • NPI: 1104986637
  • Provider Name: MR. JEFFREY DWORKIN, M.A.
  • Classification: Psychologist - 103TC2200X
  • Specialization: Clinical Child & Adolescent
  • Entity Type: Individual
  • Address: 24 COURT ST.
    MONTPELIER, VT
    ZIP 05602
  • Phone: (802) 223-6733

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NPI Details

MR. Jeffrey Dworkin, M.A. is a clinical child and adolescent psychologist in Montpelier, VT. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. MR. Jeffrey Dworkin, M.A. NPI is 1104986637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 COURT ST.
MONTPELIER, VT
ZIP 05602
Phone: (802) 223-6733
Fax: (802) 223-6733

The enumeration date for this NPI number is 12/12/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist695VERMONTNo
2103TB0200XPsychologistCognitive & Behavioral695VERMONTNo
3103TC0700XPsychologistClinical695VERMONTNo
4103TC1900XPsychologistCounseling695VERMONTNo
5103TC2200XPsychologistClinical Child & Adolescent695VERMONTYes
6103TF0000XPsychologistFamily695VERMONTNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007379MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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