Individual provider · Type 1 NPI

Charles A. Fanucchi, LSW

Clinical Social Worker · Kent, WA

NPI number 1346468964 Active

Practice location

325 W Gowe St
Kent, WA 98032-5892

Call (253) 520-9350 Map

Fax (253) 735-4111

Mailing address

2704 I St NE
Auburn, WA 98002-2411

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW00006266 (WA)

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 1346468964

Charles A. Fanucchi, LSW's National Provider Identifier is 1346468964, issued on Apr 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kent, WA. The record was last updated on Jul 8, 2007.