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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELISABETH A MICKENBERG, LICSW

Active

ELISABETH A MICKENBERG, LICSW is a Clinical Social Worker healthcare provider located in BURLINGTON, Vermont. NPI 1366518490 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BURLINGTON, VT

Registration Details

NPI Number
1366518490
Provider Type
Individual
Gender
Female
NPI Issued
Nov 28, 2006 (19.700555819141 yrs)
Last Updated
Jul 8, 2007
License
089-0000052 (VT)

Practice Information

Address
300 FLYNN AVE
BURLINGTON, VT, 054015301
Browse VT providers · Browse ZIP 05401
Phone
8026580400
Fax
8026603665
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BURLINGTON, VT

Name Credential NPI
NANCY SCHOENFELD LICSW 1043210511
MICHAEL BUKANC LICSW 1093715526
SARAH L. GERDEMAN LCSW-R, LICSW 1023008935
KATHLEEN BROWNE LICSW 1033174107
CATHLEEN M KELLEY LICSW 1366408098
BETSY A FOWLER LICSW 1669438131
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.