Individual provider · Type 1 NPI

Donna Fasullo, LCSW

Clinical Social Worker · League City, TX

NPI number 1326006735 Active

Practice location

3027 Marina Bay Dr, Suite 110
League City, TX 77573-2729

Fax (281) 240-6481

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	1041C0700X (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 1326006735

Donna Fasullo, LCSW's National Provider Identifier is 1326006735, issued on May 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in League City, TX. The record was last updated on Jun 23, 2009.