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

Individual provider Clinical Social Worker · NPI 1548478035

Tara Graham, LICSW is a Clinical Social Worker in Winooski, Vermont. Graduated from University of Vermont College of Medicine in 2001, 25 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Vermont.

Years since qualifying
25
Trained at
University of Vermont College of Medicine
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

20 W Canal St Ste C2
Winooski, VT 05404-2146
Phone: (802) 448-4185
Fax: (802) 654-7601
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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 089-0001122 (VT)

Record details

NPI number1548478035
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 18, 2007
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 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 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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