Individual provider · Type 1 NPI

Tracy R. Fawver, LCSW

Clinical Social Worker · Albuquerque, NM

NPI number 1275201725 Active

Practice location

5345 Wyoming Blvd NE Ste 107
Albuquerque, NM 87109-3193

Mailing address

9577 Osuna Rd NE Ste B
Albuquerque, NM 87111-2286

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XM-11646 (NM)

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 1275201725

Tracy R. Fawver, LCSW's National Provider Identifier is 1275201725, issued on Aug 31, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albuquerque, NM. The record was last updated on Apr 17, 2026.