Individual provider · Type 1 NPI

Laurie Bomba, MSW

Clinical Social Worker · Shelburne, VT

NPI number 1144094160 Active

Practice location

5138 Shelburne Rd
Shelburne, VT 05482-6698

Call (802) 865-3450 Map

Fax (802) 347-6112

Mailing address

86 Lake St
Burlington, VT 05401-5297

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X097.0135645 (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 1144094160

Laurie Bomba, MSW's National Provider Identifier is 1144094160, issued on Nov 9, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shelburne, VT. The record was last updated on Nov 9, 2023.