# MS. JUDITH L JEROME

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

## Provider details

- **NPI number:** 1942302476
- **Gender:** F
- **Credential:** MSW, LICSW, LADC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089-0000417 | VT | Yes |

## Other

- **Enumeration date:** 09/04/2006
- **Last updated:** 01/26/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03036 | CBA | VT |
| 05 | — | 1007929 | — | VT |
| 01 | — | 16412 | UNITED BEHAVIORAL HEALTH | VT |
| 01 | — | 19498 | BCBS VT | VT |
| 01 | — | 29123 | CIGNA | VT |
| 01 | — | 368093 | MVP | VT |