Individual provider · Type 1 NPI

Derek Andrew George, LICSW, LADC

Clinical Social Worker · South Burlington, VT

NPI number 1790078707 Active

Practice location

55 Joy Dr
South Burlington, VT 05403-6119

Call (802) 658-6111 Map

Mailing address

28 Convent Sq
Burlington, VT 05401-5136

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X000391 (VT)
Clinical Social Worker Primary 1041C0700X089.0000978 (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 1790078707

Derek Andrew George, LICSW, LADC's National Provider Identifier is 1790078707, issued on May 24, 2011. 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 May 24, 2011.