Individual provider · Type 1 NPI

Shannon Fatjo, LSW

Clinical Social Worker · Hayden, CO

NPI number 1194565457 Active

Practice location

302 Harvest Dr
Hayden, CO 81639-5065

Mailing address

PO Box 1507
Hayden, CO 81639-1507

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09931257 (CO)

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 1194565457

Shannon Fatjo, LSW's National Provider Identifier is 1194565457, issued on May 24, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hayden, CO. The record was last updated on Oct 29, 2026.