Individual provider · Type 1 NPI

Tera Faschingbauer, LCSW

Clinical Social Worker · St. Johns, FL

NPI number 1417876798 Active

Practice location

109 Lochloosa Ct
St. Johns, FL 32259-7495

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW26192 (FL)

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 1417876798

Tera Faschingbauer, LCSW's National Provider Identifier is 1417876798, issued on Jul 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Johns, FL. The record was last updated on Jul 13, 2026.