Individual provider · Type 1 NPI

Kerry L. Stout, LICSW

Clinical Social Worker · Essex Junction, VT

NPI number 1295983872 Active

Practice location

15 Pinecrest Dr
Essex Junction, VT 05452-2912

Call (802) 288-1087 Map

Fax (802) 878-4404

Mailing address

208 Flynn Ave, 3J
Burlington, VT 05401-5429

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0890001258 (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 1295983872

Kerry L. Stout, LICSW's National Provider Identifier is 1295983872, issued on Sep 8, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Essex Junction, VT. The record was last updated on May 19, 2011.