Leslie Diane Weed Fonner in Montpelier - Clinical
Leslie Diane Weed Fonner - NPI 1255513719
Leslie Diane Weed Fonner is a Clinical in Montpelier, Vermont. Leslie Diane Weed Fonner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Diane Weed Fonner is 1255513719. The last update date is 2015-11-19.
Leslie Diane Weed Fonner's current location address is Po Box 647, Montpelier, Vermont. You can contact this provider via phone number 8024794083 and fax number 8024761476. The mailing address for Leslie Diane Weed Fonner is Po Box 647, Montpelier, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Diane Weed Fonner |
|---|---|
| Address | Po Box 647, Montpelier, Vermont |
| Phone Number | 8024794083 |
| Fax Number | 8024761476 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1255513719 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2015-11-19 |
Provider Mailing Address Detail
| Address | Po Box 647 |
|---|---|
| City | Montpelier |
| State | Vermont (VT) |
| Post Code | 56010647 |
| Phone Number | 8024794083 |
| Fax Number | 8024761476 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 089-0000523 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410724 | TRICARE | ||
| 1042317 | VT | CIGNA | |
| 1255513719 | VT | BLUE CROSS/BLUE SHIELD OF VERM | |
| 989026C | VT | MVP | |
| 1014406 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leslie Diane Weed Fonner by the Centers for Medicare & Medicaid Services?
The Leslie Diane Weed Fonner has been assigned the NPI (National Provider Identifier) 1255513719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Leslie Diane Weed Fonner is physically located?
The Leslie Diane Weed Fonner is situated at the following address: Po Box 647, Montpelier, VT 56010647.
What is the Leslie Diane Weed Fonner's area of specialization and corresponding taxonomy classification?
The Leslie Diane Weed Fonner's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1255513719 to Leslie Diane Weed Fonner?
The Leslie Diane Weed Fonner received its 1255513719 assignment from the Centers for Medicare & Medicaid Services on 2007-11-27.
As of what date was the information regarding Leslie Diane Weed Fonner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leslie Diane Weed Fonner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-11-19.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY