Individual provider · Type 1 NPI

Jennifer Marie Fackelman

Clinical Social Worker · Toledo, OH

NPI number 1578828984 Active

Practice location

1822 Cherry St
Toledo, OH 43608-2801

Call (419) 720-9247 Map

Mailing address

2283 Ashland Ave
Toledo, OH 43620-1205

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS.0901179 (OH)

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 1578828984

Jennifer Marie Fackelman's National Provider Identifier is 1578828984, issued on Jul 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Toledo, OH. The record was last updated on Apr 24, 2020.