NPI 1063448694

Bridget Leicester, LICSW

Practitioner Clinical Social Worker Rutland, VT

Practice location

Address: 90 Mahoney Ave Psychiatry & Psychotherapy Assocs, Rutland, VT 05701-0000
Phone: (802) 775-2581
Fax: (802) 775-3395
Mailing address: PO Box 305, Proctorsville, VT 05153-0000

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 089-0000928 (VT)

Other Social Worker providers in Vermont →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence R042998-1 (NY)

Registry record

NPI: 1063448694
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2006
Record last updated: 8 Jul 2007

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.