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

Elisabeth A Mickenberg, LICSW

Individual provider Clinical Social Worker · NPI 1366518490

Elisabeth A Mickenberg, LICSW is a Clinical Social Worker in Burlington, Vermont. Licensed in Vermont. Registered with an NPI since 2006.

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.

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Practice location Address checks out

300 Flynn Ave
Burlington, VT 05401-5301
Phone: (802) 658-0400
Fax: (802) 660-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089-0000052 (VT)

Record details

NPI number1366518490
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESJuly 8, 2007

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