Individual provider · Type 1 NPI

Emily Fannan, LCSW

Clinical Social Worker · San Diego, CA

NPI number 1083162275 Active

Practice location

3665 Kearny Villa Rd Ste 101
San Diego, CA 92123-1954

Mailing address

6349 Rancho Mission Rd Unit 3
San Diego, CA 92108-2007

Other practice locations

  • 625 W. Citracado Pkwy Ste 102, Escondido, CA 92025-6428 · (760) 525-3472
  • 9445 Farnham St Ste 100, San Diego, CA 92123 · (858) 444-5101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X88566 (CA)

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 1083162275

Emily Fannan, LCSW's National Provider Identifier is 1083162275, issued on Sep 15, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Aug 27, 2019.