Individual provider · Type 1 NPI

Leslie Diane Weed Fonner, LICSW

Clinical Social Worker · Berlin, VT

NPI number 1255513719 Active

Practice location

174 Hospital Loop
Berlin, VT 05602-9105

Call (802) 479-4083 Map

Fax (802) 476-1476

Mailing address

PO Box 647
Montpelier, VT 05601-0647

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089-0000523 (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 1255513719

Leslie Diane Weed Fonner, LICSW's National Provider Identifier is 1255513719, issued on Nov 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Berlin, VT. The record was last updated on Nov 19, 2015.