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Shana Kotelchuck, LICSW
Clinical Social Worker in Randolph, Vermont
NPI 1073648895

Shana Kotelchuck is a Clinical Social Worker based in Middlesex, VT and is specialized in Clinical. Shana Kotelchuck practices in Randolph, VT and has the professional credentials of LICSW. The NPI Number for Shana Kotelchuck is 1073648895 and holds a License No. 089-0001123 (Vermont).

The current practice location address for Shana Kotelchuck is 11 S Main St, Randolph, VT and can be reached out via phone at 802-728-4466 and via fax at 802-728-4197.

Location: 11 S Main St, Randolph, VT, 05602-9370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073648895
Provider Name
Shana Kotelchuck
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
11 S Main St, Randolph, VT, 05602-9370
Phone Number
802-728-4466
Fax Number
802-728-4197
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013367 05 VT
institution
Provider Business Practice Location Address Details
Address
11 S Main St
City
Randolph
State
Vermont
Zip
05060-1330
Phone Number
802-728-4466
Fax Number
802-728-4197
person
Provider Business Mailing Address Details
Address
11 S Main St
City
Randolph
State
Vermont
Zip
05060-1330
Phone Number
802-728-4466
Fax Number
802-728-4197
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
089-0001123 (Vermont)
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.
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