Leslie Diane Weed Fonner, LICSW in Berlin, VT

Leslie Diane Weed Fonner, LICSW is a Social Worker - Clinical based in Berlin, Vermont. Leslie Diane Weed Fonner is licensed to practice in Vermont (license number 089-0000523) and her current practice location is 174 Hospital Loop, Berlin, Vermont. She can be reached at her office (for appointments etc.) via phone at (802) 479-4083.

NPI number for Leslie Diane Weed Fonner is 1255513719 and her current mailing address is Po Box 647, Montpelier, Vermont. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255513719.

Contact Information

	Leslie Diane Weed Fonner, LICSW
	174 Hospital Loop, Berlin, VT 05602-9105
	(802) 479-4083
	(802) 476-1476

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie Diane Weed Fonner
Gender	Female
Speciality	Social Worker - Clinical
Location	174 Hospital Loop, Berlin, Vermont
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1255513719
Provider Enumeration Date: 11/27/2007
Last Update Date: 11/19/2015

Medical Identifiers

Medical identifiers for Leslie Diane Weed Fonner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255513719	NPI	-	NPPES
410724	Other		TRICARE
1042317	Other	VT	CIGNA
1255513719	Other	VT	BLUE CROSS/BLUE SHIELD OF VERMONT
989026C	Other	VT	MVP
1014406	Medicaid	VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089-0000523 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Diane Weed Fonner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Leslie Diane Weed Fonner, LICSW Po Box 647, Montpelier, VT 05601-0647 Ph: (802) 479-4083	Leslie Diane Weed Fonner, LICSW 174 Hospital Loop, Berlin, VT 05602-9105 Ph: (802) 479-4083

Reviews and Comments

Social Worker in Berlin, VT

Mary S Thompson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476
Ellia Cohen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 174 Hospital Loop, Berlin, VT 05602 Phone: 802-479-4083 Fax: 802-476-1476
Elisabeth A Kaldor, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667
Christine E Parker, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Hospital Loop, Berlin, VT 05602 Phone: 802-229-0591 Fax: 802-223-3667
Juliet Davis, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 641 Comstock Rd Ste 1, Berlin, VT 05602 Phone: 802-223-4744 Fax: 802-229-0848
Elizabeth Badillo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 641 Comstock Rd, Berlin, VT 05602 Phone: 802-223-4744 Fax: 802-229-0848

Leslie Diane Weed Fonner, LICSW - Clinical Social Worker in Berlin, VT