| Jacqueline Clark, | |
|
1138 Pine St, Burlington, VT 05401-5353 | |
| (802) 488-6000 | |
| (802) 488-6919 |
| Full Name | Jacqueline Clark |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1138 Pine St, Burlington, Vermont |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942084629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0135410 (Vermont) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Clark, 208 Flynn Ave Ste 3j, Burlington, VT 05401-5420 Ph: (802) 488-6934 | Jacqueline Clark, 1138 Pine St, Burlington, VT 05401-5353 Ph: (802) 488-6000 |
Shannon Kadish, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600 |
Elyza Moore, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919 |
Ellyn Leamon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-863-1326 |
Allison Holley Capeless, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Lakeside Ave, Burlington, VT 05401 Phone: 312-519-5675 |
Lauren Carpenter, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 |
Lora Giguere, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919 |
Adam Frowine, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919 |