Individual provider · Type 1 NPI
Charlie-Mae Johnson, LICSW
Clinical Social Worker · Waterbury, VT
Practice location
5 Pilgrim Park Rd
Waterbury, VT 05676-1735
Mailing address
324 Dalton Rd
Dalton, NH 03598-5723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 089.0136799PROV (VT) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1013871219
Charlie-Mae Johnson, LICSW's National Provider Identifier is 1013871219, issued on Dec 11, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, VT. The record was last updated on Dec 11, 2025.