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

Lisa K Lax, LICSW

Individual provider Clinical Social Worker · NPI 1417397647

Lisa K Lax, LICSW is a Clinical Social Worker in Burlington, Vermont. Qualified in 1983, 43 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
43
Licensed in
VT
In the registry since
2013
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

617 Riverside Ave
Burlington, VT 05401-1601
Phone: (802) 864-6309
Fax: (802) 860-4313
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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 0890000134 (VT)

Record details

NPI number1417397647
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESJuly 2, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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