Diana Bailey, LICSW
Social Worker, Clinical in Burlington, VT. Individual provider (NPI-1).
NPI number1164024774
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1164024774
- Entity type
- Individual (NPI-1)
- Name
- Diana Bailey
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 089-0134333 | VT | Yes |
Practice location
1138 Pine StBurlington, VT 05401-5353
Phone 802-488-6000 · Fax 802-488-6919
Mailing address
208 Flynn Ave Ste 3jBurlington, VT 05401-5420
Phone 802-488-6920 · Fax 802-488-6919
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