ELISABETH A MICKENBERG LICSW - NPI 1366518490 - Social Worker in Burlington, VT

Q: What is Elisabeth Mickenberg's NPI number?

The NPI number for Elisabeth Mickenberg is 1366518490. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Q: What is Elisabeth Mickenberg's specialty?

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

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About Elisabeth A Mickenberg Licsw NPPES

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

ELISABETH A MICKENBERG LICSW (NPI 1366518490) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (089-0000052) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1366518490

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameELISABETH A MICKENBERGCredential: LICSW

Location Address300 FLYNN AVEBurlington, VT 05401-5301

Mailing Address300 Flynn AveBurlington, VT 05401-5301 · (802) 658-0400 · Fax (802) 660-3665

Phone(802) 658-0400

Fax(802) 660-3665

Sole ProprietorNo

Enumeration DateNovember 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1366518490 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 · 089-0000052

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.

300 FLYNN AVE, Burlington, VT 05401

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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.

ELAINE SOTO LICSW

Social Worker (Clinical)