Individual provider · Type 1 NPI

Charles Joseph Corbally, LICSW

Clinical Social Worker · Burlington, VT

NPI number 1225584980 Active

Practice location

2 Church St, Suite 3G
Burlington, VT 05401-4299

Mailing address

2 Church Street, Suite 3G
Burlington, VT 05401

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089.0117025 (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 1225584980

Charles Joseph Corbally, LICSW's National Provider Identifier is 1225584980, issued on Aug 31, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burlington, VT. The record was last updated on Apr 17, 2017.