Individual provider · Type 1 NPI

Heidi Fenton, MA

Clinical Social Worker · Holloman Afb, NM

NPI number 1104900059 Active

Practice location

280 1st St Bldg 23
Holloman Afb, NM 88330-8273

Mailing address

PO Box 514
Tucumcari, NM 88401

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI-06306 (NM)

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 1104900059

Heidi Fenton, MA's National Provider Identifier is 1104900059, issued on Oct 25, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Holloman Afb, NM. The record was last updated on Jul 24, 2023.