Organization · Type 2 NPI

Judevine Psychotherapy

Clinical Social Worker · South Burlington, VT

NPI number 1316864457 Active

Practice location

150 Dorset St Ste 245-169
South Burlington, VT 05403-6256

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1316864457

Judevine Psychotherapy's National Provider Identifier is 1316864457, issued on Jun 30, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Burlington, VT. The record was last updated on Jun 30, 2026.