Individual provider · Type 1 NPI

Bridget Leicester, LICSW

Clinical Social Worker · Rutland, VT

NPI number 1063448694 Active

Practice location

90 Mahoney Ave, Psychiatry & Psychotherapy Assocs
Rutland, VT 05701-0000

Call (802) 775-2581 Map

Fax (802) 775-3395

Mailing address

PO Box 305
Proctorsville, VT 05153-0000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089-0000928 (VT)
Clinical Social Worker 1041C0700XR042998-1 (NY)

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 1063448694

Bridget Leicester, LICSW's National Provider Identifier is 1063448694, issued on Jun 24, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rutland, VT. The record was last updated on Jul 8, 2007.