Individual provider · Type 1 NPI
Stacy Lynn Fazio, LCSW
Clinical Social Worker · Clovis, CA
Practice location
755 N Peach Ave Ste H14
Clovis, CA 93611-7264
Fax (559) 712-6282
Mailing address
673 W Richmond Ave
Clovis, CA 93619-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSW19354 (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 1104261544
Stacy Lynn Fazio, LCSW's National Provider Identifier is 1104261544, issued on Apr 29, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clovis, CA. The record was last updated on Aug 28, 2022.