Individual provider · Type 1 NPI
Karen Edana Chalom, LICSW
Clinical Social Worker · South Pomfret, VT
Practice location
4056 Pomfret Road
South Pomfret, VT 05067-0109
Fax (802) 457-6191
Mailing address
PO Box 109, 4056 Pomfret Road
South Pomfret, VT 05067-0109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0890000996 (VT) |
| Clinical Social Worker | 1041C0700X | 12794 (MN) |
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 1164589735
Karen Edana Chalom, LICSW's National Provider Identifier is 1164589735, issued on Jan 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Pomfret, VT. The record was last updated on Sep 5, 2013.