Individual provider · Type 1 NPI

Stephen R. Fishack, M.S.W.

Clinical Social Worker · Statesboro, GA

NPI number 1144319237 Active

Practice location

106 Oak St Ste A
Statesboro, GA 30458-0988

Fax (912) 764-5661

Mailing address

PO Box 373
Statesboro, GA 30459-0373

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1298 (GA)

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 1144319237

Stephen R. Fishack, M.S.W.'s National Provider Identifier is 1144319237, issued on Oct 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Statesboro, GA. The record was last updated on Jul 8, 2007.