Individual provider · Type 1 NPI

Kenneth George Fournier, LICSW

Clinical Social Worker · Prescott, AZ

NPI number 1003170838 Active

Practice location

500 N US Highway 89
Prescott, AZ 86313-5001

Fax (928) 776-6116

Mailing address

500 N. Highway 89
Prescott, AZ 86313-0000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X5416 (MN)
Clinical Social Worker 1041C0700X13543 (AZ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003170838

Kenneth George Fournier, LICSW's National Provider Identifier is 1003170838, issued on Jun 26, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Prescott, AZ. The record was last updated on Jun 26, 2012.