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

Individual provider Clinical Social Worker · NPI 1497599047

Mallory Diana Charland, LICSW is a Clinical Social Worker in Essex Junction, Vermont. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
6
Licensed in
VT
In the registry since
2024
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

42 Susie Wilson Rd Unit 111
Essex Junction, VT 05452-2856
Phone: (802) 404-2185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 462 Hegeman Ave Ste 200, Colchester, VT 05446-3187 — (802) 661-4376

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089.0135917 (VT)

Record details

NPI number1497599047
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Essex Junction