Individual provider · Type 1 NPI
Jessica Fanty, LMSW
Clinical Social Worker · Travis Afb, CA
Practice location
60 Mdg / Sgxw, 101 Bodin Circle
Travis Afb, CA 94535-1809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 113785 (TX) |
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 1639965833
Jessica Fanty, LMSW's National Provider Identifier is 1639965833, issued on Apr 16, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Travis Afb, CA. The record was last updated on Aug 28, 2026.