Individual provider · Type 1 NPI

Amanda Fackler, LCSW

Clinical Social Worker · Knoxville, TN

NPI number 1083097471 Active

Practice location

2147 Maplewood Dr
Knoxville, TN 37920-2752

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X10478 (TN)
Clinical Social Worker Primary 1041C0700XLSW0000007118 (TN)

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 1083097471

Amanda Fackler, LCSW's National Provider Identifier is 1083097471, issued on Jul 2, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Knoxville, TN. The record was last updated on Dec 8, 2022.