Individual provider · Type 1 NPI

Tina L. Fardella, LMHP LCSW

Clinical Social Worker · Lincoln, NE

NPI number 1376690891 Active

Practice location

5600 S 59th St Ste 104, Orr Psychotherapy Resources
Lincoln, NE 68516-2387

Fax (402) 484-0595

Mailing address

841 Coachmans Drive
Lincoln, NE 68510

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2525 (NE)
Clinical Social Worker Primary 1041C0700X1058 (NE)

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 1376690891

Tina L. Fardella, LMHP LCSW's National Provider Identifier is 1376690891, issued on Jan 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lincoln, NE. The record was last updated on Dec 20, 2010.