Individual provider · Type 1 NPI

Kelly Fabera, LCSW

Clinical Social Worker · De Pere, WI

NPI number 1508226424 Active

Practice location

1511 W Main Ave, Suite 100
De Pere, WI 54115-9556

Call (920) 403-7600 Map

Fax (920) 403-7360

Mailing address

PO Box 13156
Green Bay, WI 54307-3156

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8448-123 (WI)

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 1508226424

Kelly Fabera, LCSW's National Provider Identifier is 1508226424, issued on Mar 4, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in De Pere, WI. The record was last updated on Mar 4, 2016.