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

Leslie Diane Weed Fonner, LICSW

Individual provider Clinical Social Worker · NPI 1255513719

Leslie Diane Weed Fonner, LICSW is a Clinical Social Worker in Berlin, Vermont. Licensed in Vermont. Registered with an NPI since 2007.

Licensed in
VT
In the registry since
2007
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

174 Hospital Loop
Berlin, VT 05602-9105
Phone: (802) 479-4083
Fax: (802) 476-1476
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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 089-0000523 (VT)

Record details

NPI number1255513719
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESNovember 19, 2015

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