Individual provider · Type 1 NPI

Fanita Marian Lister, LCSW

Clinical Social Worker · Westlake Village, CA

NPI number 1376645473 Active

Practice location

2659 Townsgate Rd, #201
Westlake Village, CA 91361-2710

Fax (805) 381-9140

Mailing address

4712 Admiralty Way, #633
Marina Del Rey, CA 90292-6905

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS11086 (CA)

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 1376645473

Fanita Marian Lister, LCSW's National Provider Identifier is 1376645473, issued on Sep 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westlake Village, CA. The record was last updated on Jul 8, 2007.