Individual provider · Type 1 NPI
Susan Ide
Clinical Social Worker · Burlington, VT
Practice location
47 Maple St Ste 302-304
Burlington, VT 05401-4861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0890077028 (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 1912399148
Susan Ide's National Provider Identifier is 1912399148, issued on Feb 25, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Burlington, VT. The record was last updated on Feb 25, 2015.