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Leslie Diane Weed Fonner, LICSW
Clinical Social Worker in Berlin, Vermont
NPI 1255513719

Leslie Diane Weed Fonner is a Clinical Social Worker based in Montpelier, VT and is specialized in Clinical. Leslie Diane Weed Fonner practices in Berlin, VT and has the professional credentials of LICSW. The NPI Number for Leslie Diane Weed Fonner is 1255513719 and holds a License No. 089-0000523 (Vermont).

The current practice location address for Leslie Diane Weed Fonner is 174 Hospital Loop, Berlin, VT and can be reached out via phone at 802-479-4083 and via fax at 802-476-1476.

Location: 174 Hospital Loop, Berlin, VT, 05601-0647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255513719
Provider Name
Leslie Diane Weed Fonner
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
174 Hospital Loop, Berlin, VT, 05601-0647
Phone Number
802-479-4083
Fax Number
802-476-1476
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
410724 01 TRICARE
1042317 01 VT CIGNA
1255513719 01 VT BLUE CROSS/BLUE SHIELD OF VERMONT
989026C 01 VT MVP
1014406 05 VT
institution
Provider Business Practice Location Address Details
Address
174 Hospital Loop
City
Berlin
State
Vermont
Zip
05602-9105
Phone Number
802-479-4083
Fax Number
802-476-1476
person
Provider Business Mailing Address Details
Address
174 Hospital Loop
City
Berlin
State
Vermont
Zip
05602-9105
Phone Number
802-479-4083
Fax Number
802-476-1476
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
089-0000523 (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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