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

Individual provider Clinical Social Worker · NPI 1609417583

Nicole Fossiano, LICSW is a Clinical Social Worker in Burlington, Vermont. Graduated from University of Vermont College of Medicine in 2013, 13 years ago. Works from 2 locations and offers telehealth. Licensed in Vermont.

Years since qualifying
13
Trained at
University of Vermont College of Medicine
Licensed in
VT
In the registry since
2019
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

1138 Pine St
Burlington, VT 05401-5353
Phone: (802) 488-6000
Fax: (802) 488-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 79 Walnut St, Burlington, VT 05401-2817 — (802) 760-7716

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 089-0134204 (VT)

Record details

NPI number1609417583
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 2, 2019
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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