NPI 1003288630

Shannon Kadish, LICSW

Practitioner Clinical Social Worker Burlington, VT

Practice location

Address: 1138 Pine St, Burlington, VT 05401-5353
Phone: (802) 488-6600
Mailing address: 208 Flynn Ave Suite 3j, Burlington, VT 05401-5429

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089-0001276 (VT)

Other Social Worker providers in Vermont →

Registry record

NPI: 1003288630
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2015
Record last updated: 22 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.