Individual provider · Type 1 NPI

Tara Graham, LICSW

Clinical Social Worker · Winooski, VT

NPI number 1548478035 Active

Practice location

20 W Canal St Ste C2
Winooski, VT 05404-2146

Fax (802) 654-7601

Mailing address

5 Pleasant Ave
Burlington, VT 05408-2409

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X089-0001122 (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 1548478035

Tara Graham, LICSW's National Provider Identifier is 1548478035, issued on May 18, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Winooski, VT. The record was last updated on Aug 31, 2021.