Individual provider · Type 1 NPI
Tara Graham, LICSW
Clinical Social Worker · Winooski, VT
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
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 089-0001122 (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.