Individual provider · Type 1 NPI

Tage Alan Lilja, MSW, LICSW

Clinical Social Worker · Burlington, VT

NPI number 1780827147 Active

Practice location

125 Saint Paul St Ste 107
Burlington, VT 05401-8462

Call (802) 391-9865 Map

Mailing address

391 Southwind Rd
Hinesburg, VT 05461-4448

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	089.0106322 (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 1780827147

Tage Alan Lilja, MSW, LICSW's National Provider Identifier is 1780827147, issued on Apr 15, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burlington, VT. The record was last updated on Jul 30, 2019.