Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Elissa Owen, LICSW

Individual provider Clinical Social Worker · NPI 1124118302

Carol Elissa Owen, LICSW is a Clinical Social Worker in Fairlee, Vermont. Qualified in 1997, 29 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
29
Licensed in
VT
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

28 Lake Morey Rd Apt 2
Fairlee, VT 05045-9824
Phone: (207) 779-7635
Fax: (207) 779-7635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0135072 (VT)

Record details

NPI number1124118302
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 16, 2006
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services