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

Individual provider Clinical Social Worker · NPI 1225201536

Jennifer C Fellows, LICSW is a Clinical Social Worker in South Burlington, Vermont. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Vermont.

Years since qualifying
22
Licensed in
VT
In the registry since
2008
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

1795 Williston Rd Ste 330
South Burlington, VT 05403-6487
Phone: (802) 233-7420
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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 089-0001142 (VT)

Record details

NPI number1225201536
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 8, 2008
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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