Organization · Type 2 NPI

Kintsugi Counseling LLC

Clinical Social Worker · Fairbanks, AK

NPI number 1306586961 Active

Practice location

1305 21st Ave Ste 204
Fairbanks, AK 99701-6084

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Social Worker Primary	1041C0700X	None listed

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 1306586961

Kintsugi Counseling LLC's National Provider Identifier is 1306586961, issued on Mar 31, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 6, 2025.