Tatum O'Malley, LICSW
Social Worker, Clinical in Burlington, VT. Individual provider (NPI-1).
NPI number1093554875
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1093554875
- Entity type
- Individual (NPI-1)
- Name
- Tatum O'Malley
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2024
- Certification date
- Apr 29, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089.0135855 | VT | Yes |
Practice location
1138 Pine StBurlington, VT 05401-5353
Phone 802-488-6000 · Fax 802-488-6919
Mailing address
102 S Winooski AveBurlington, VT 05401-7406
Phone 802-488-6920 · Fax 802-488-6919
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