Individual provider · Type 1 NPI

Marsha Ann Fasullo, LCSW

Clinical Social Worker · Metairie, LA

NPI number 1407038540 Active

Practice location

433 Metairie Rd, Suite 106
Metairie, LA 70005-4333

Call (504) 835-5007 Map

Fax (504) 835-5018

Mailing address

314 Cherry Blossom Ln
Terrytown, LA 70056-2758

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1654 (LA)

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 1407038540

Marsha Ann Fasullo, LCSW's National Provider Identifier is 1407038540, issued on Nov 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Metairie, LA. The record was last updated on Nov 30, 2007.