Individual provider · Type 1 NPI

Kristin Nicole Fearon, LCSW

Clinical Social Worker · Boulder, MT

NPI number 1487029336 Active

Practice location

105 Venture Way
Boulder, MT 59632

Fax (406) 225-3464

Mailing address

PO Box 1088, 105 Venture Way
Boulder, MT 59632-1088

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSWP-LCSW-LIC-7559 (MT)

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 1487029336

Kristin Nicole Fearon, LCSW's National Provider Identifier is 1487029336, issued on Dec 3, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boulder, MT. The record was last updated on Dec 3, 2015.