LESLIE DIANE WEED FONNER LICSW
NPI 1255513719
Social Worker - Clinical in Berlin, VT

Active since November 27, 2007
174 HOSPITAL LOOP, BERLIN, VT 05602(802) 479-4083(802) 476-1476 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leslie Diane Weed Fonner Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE DIANE WEED FONNER LICSW (NPI 1255513719) is an individual clinical provider in Berlin, Vermont, licensed in Vermont (089-0000523) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1255513719
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLESLIE DIANE WEED FONNERCredential: LICSW
Location Address174 HOSPITAL LOOPBerlin, VT 05602-9105
Mailing AddressPo Box 647Montpelier, VT 05601-0647 · (802) 479-4083 · Fax (802) 476-1476
Fax(802) 476-1476
Sole ProprietorNo
Enumeration DateNovember 27, 2007
Last NPPES UpdateNovember 19, 2015
NPI 1255513719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VT · 089-0000523
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

174 HOSPITAL LOOP, Berlin, VT 05602

Other Identifiers 6

Other1042317VT · Cigna
Other989026CVT · Mvp
Other1255513719VT · Blue Cross/blue Shield Of Vermont
Medicare PIN000355601VT
Medicaid1014406VT
Other410724Tricare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
174 HOSPITAL LOOP
BERLIN, VT 05602
Social Worker (Clinical)
174 HOSPITAL LOOP
BERLIN, VT 05602
Student in an Organized Health Care Education/Training Program
174 HOSPITAL LOOP
BERLIN, VT 05602
Psychologist
174 HOSPITAL LOOP
BERLIN, VT 05602
Social Worker (Clinical)
174 HOSPITAL LOOP
BERLIN, VT 05602
Student in an Organized Health Care Education/Training Program
174 HOSPITAL LOOP
BERLIN, VT 05602
Clinic/Center (Mental Health (Including Community Mental Health Center))
174 HOSPITAL LOOP
BERLIN, VT 05602
Psychologist (Clinical)
174 HOSPITAL LOOP
BERLIN, VT 05602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Weed Fonner's NPI number?

The NPI number for Leslie Weed Fonner is 1255513719. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Leslie Weed Fonner located?

Leslie Weed Fonner practices at 174 Hospital Loop, Berlin, VT 05602. The listed phone number is (802) 479-4083.

What is Leslie Weed Fonner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Leslie Weed Fonner was last updated on November 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.