Individual
MS. JUDITH L JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089-0000417
VT
Other
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
Enumeration date
09/04/2006
Last updated
01/26/2018
Update your record
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