Individual provider · Type 1 NPI

Teresa Fatemah Fennell, MS LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1134567589 Active

Practice location

8801 J M Keynes Dr, Suite 440
Charlotte, NC 28262-8436

Call (704) 537-9551 Map

Mailing address

12506 Atkins Circle Dr, Apt 320
Charlotte, NC 28277-0037

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP007168 (NC)

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 1134567589

Teresa Fatemah Fennell, MS LCSWA's National Provider Identifier is 1134567589, issued on Jun 7, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Sep 9, 2013.