Individual provider · Type 1 NPI

Misty Fast, SAC-IT

Clinical Social Worker · Frederic, WI

NPI number 1235748815 Active

Practice location

203 United Way
Frederic, WI 54837-8938

Call (715) 327-4402 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X12168-123 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X18954-130 (WI)

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 1235748815

Misty Fast, SAC-IT's National Provider Identifier is 1235748815, issued on Jul 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Frederic, WI. The record was last updated on May 28, 2026.