Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL ELISSA OWEN, LICSW
Active Sole ProprietorCAROL ELISSA OWEN, LICSW is a Clinical Social Worker healthcare provider located in FAIRLEE, Vermont. NPI 1124118302 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FAIRLEE, VT
Registration Details
- NPI Number
- 1124118302
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2006 (19.684204173452 yrs)
- Last Updated
- Mar 18, 2024
- License
-
089.0135072 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
28 LAKE MOREY RD APT 2FAIRLEE, VT, 050459824Browse VT providers · Browse ZIP 05045
- Phone
- 2077797635
- Fax
- 2077797635
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.