# SUSAN DICKEY TAGGART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346768678
- **Gender:** F
- **Credential:** LICSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089.0121079 | VT | Yes |
| 1041C0700X | Clinical Social Worker | 097.0107788 | VT | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2017
- **Last updated:** 10/31/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 097-0107788 | STATE OF VERMONT LICENSE \# | VT |