Individual provider · Type 1 NPI

Tina M. Fanello, L.C.S.W.

Clinical Social Worker · Aurora, CO

NPI number 1609299403 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Mailing address

406 Wilhelmia Ave
Colorado Springs, CO 80904-2434

Other practice locations

  • 1650 Cochrane Cir, Fort Carson, CO 80913-4613 · (303) 859-7529

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCS 29167 (CA)
Clinical Social Worker Primary 1041C0700XCSW.00001120 (CO)

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 1609299403

Tina M. Fanello, L.C.S.W.'s National Provider Identifier is 1609299403, issued on Jan 29, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Aurora, CO. The record was last updated on Oct 12, 2018.