Doctor Name: | ROBERTA C ROOD |
NPI Number: | 1194033027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 089-0070536 |
Business Practice Address: | 859 Old County Rd Waitsfield, VT - 056736221 |
Business Phone Number: | 8024965986 |
Business Fax Number: | |
Mailing Address: | 71 Allen Pond, Suite 403 RUTLAND |
State: | VT |
Postal Code: | 057014570 |
Phone Number: | 8027724414 |
Fax Number: | 8027727973 |
NPI Enumeration Date: | 09/14/2010 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 089-0070536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |