Organization · Type 2 NPI

Tage Lilja Licsw PLC

Clinical Social Worker · Burlington, VT

NPI number 1972076339 Active

Practice location

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

Mailing address

391 Southwind Rd
Hinesburg, VT 05461-4448

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1972076339

Tage Lilja Licsw PLC's National Provider Identifier is 1972076339, issued on Jan 9, 2019. 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.