Individual provider · Type 1 NPI

Carol Elissa Owen, LICSW

Clinical Social Worker · Fairlee, VT

NPI number 1124118302 Active

Practice location

28 Lake Morey Rd Apt 2
Fairlee, VT 05045-9824

Fax (207) 779-7635

Mailing address

PO Box 15
Thetford, VT 05074-0015

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089.0135072 (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…

About NPI 1124118302

Carol Elissa Owen, LICSW's National Provider Identifier is 1124118302, issued on Oct 16, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairlee, VT. The record was last updated on Mar 18, 2024.