Individual provider · Type 1 NPI

Kelly Feddern, LCSW

Clinical Social Worker · Dallas, TX

NPI number 1013759034 Active

Practice location

10110 Coveridge Dr
Dallas, TX 75238-1521

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1013759034

Kelly Feddern, LCSW's National Provider Identifier is 1013759034, issued on Jun 10, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on Jun 10, 2024.