# ROBERTA C. ROOD, LICSW

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ROBERTA C. ROOD, LICSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043974496
- **Authorized official:** ROBERTA C ROOD LICSW (PROVIDER)
- **Authorized official phone:** (802) 496-4198

## Contact information

- **Practice address:** 7512 MAIN ST, WAITSFIELD, VT 05673-6188
- **Practice address phone:** (802) 496-4198
- **Mailing address:** PO BOX 172, WAITSFIELD, VT 05673-0172
- **Mailing address phone:** (802) 496-4198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2021
- **Last updated:** 10/22/2021