Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA CHANCE GLEASON, LICSW
Active Sole ProprietorTHERESA CHANCE GLEASON, LICSW is a Clinical Social Worker healthcare provider located in BRIDPORT, Vermont. NPI 1265619183 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BRIDPORT, VT
Registration Details
- NPI Number
- 1265619183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2008 (18.551011090681 yrs)
- Last Updated
- Jan 22, 2008
- License
-
089-0000196 (VT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2076 EAST STBRIDPORT, VT, 057349680Browse VT providers · Browse ZIP 05734
- Phone
- 8027582476
- 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.