Individual provider · Type 1 NPI

Sarah Marie Fanucci, LCSW, LICSW

Clinical Social Worker · Odessa, TX

NPI number 1164166245 Active

Practice location

4410 Dawn Ave
Odessa, TX 79762-5740

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLW60822217 (WA)
Clinical Social Worker Primary 1041C0700X67568 (TX)

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 1164166245

Sarah Marie Fanucci, LCSW, LICSW's National Provider Identifier is 1164166245, issued on Apr 25, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Odessa, TX. The record was last updated on Apr 25, 2022.